APPENDIX A

Certification of Record of the Case for Prosecution

 In the Matter of a request by (insert name of country or entity seeking extradition)
 for the extradition of ( insert name of person sought) from Canada for prosecution.

(insert name of country or entity seeking extradition) requests the extradition of (insert name of person sought) from Canada for prosecution.

In relation to that request I, (insert name and title /position of person (judicial or prosecuting authority) providing certification) certify that the evidence summarized or contained in the attached documents is available for trial and

(is sufficient under the law of ( insert name of country or entity seeking extradition) to justify prosecution)

or

(was gathered according to the law of ( insert name of country or entity seeking extradition)).

APPENDIX B

Certification of Record of the Case

For Imposition or Enforcement of a Sentence

In the Matter of a request by (insert name of country or entity seeking extradition) for the extradition of (insert name of person sought) from Canada for imposition or enforcement of a sentence.

(insert name of country or entity seeking extradition) requests the extradition of (insert name of person sought) from Canada for imposition or enforcement of a sentence.

In relation to that request I, (insert name and title /position of person (judicial, prosecuting or correctional authority) providing certification) certify that the attached documents are accurate.