30 Laws of Malaysia ACT 747 SECOND SCHEDULE (Section 7) FORM ELECTRONIC MONITORING DEVICE IN THE SESSIONS COURT AT.................. IN THE STATE OF.................. 1. Name:....................................................................................................................... 2. Case No.: ................................................................................................................. 3. Identity Card No.: ................................................................................................... 4. Address:................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... 5. Telephone No.: ........................................................................................................ 6. Family members to be contacted: ............................................................................ ..................................................................................................................................... 7. Period to be attached with electronic monitoring device (“device”): ..................... 8. Terms and conditions— (a) to report to the nearest police station at/for every .........................; (b) understands that all movements will be tracked and retained as an official record; (c) agrees to be required to report for device equipment checks if necessary; (d) to notify the police officer if there is any change of address; (e) to allow inspections of the device by the police officer; (f) to report to the nearest police station for removal of the device; (g) to return all the device equipment to the police officer; (h) to submit to procedures required by the police officer; (i) to maintain the device as instructed by the police officer;

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