Circular No 001 2017 LW

Circular No 001/2017/LW Dated 19 Apr 2017

To Yayasan Bantuan Guaman Kebangsaan (“YBGK (“YBGK ”) ”) lawyers Updated YBGK Interview Sheets and Claim Forms (With Effect from 1 May 2017)

We refer to YBGK Circular No 006/2016/LW dated 29 Nov 2016, entitled “Updated “Updated YBGK Interview Sheets and Claim Forms (with Effect from 1 Dec 2016)” 2016) ”, which is attached for your reference. We subsequently received feedback from YBGK lawyers and the Bar Council Legal Aid Centres (“LACs” LACs”), ), proposing amendments amendments to the documents. documents. The proposals were were discussed at a National National Legal Aid Committee meeting, and the changes that are necessary have been made to the interview sheets and claim forms. Please use these updated documents, which are attached as individual Word documents, for all claims submitted from 1 May 2017 (Monday) onwards: (1) (2) (3) (4) (5) (6) (7) (8) (9)

Arrest Interview Sheet — Sheet — A1 A1 (a) and A1 (b); Remand Interview Sheet — Sheet — A2; A2; Bail Interview Sheet — Sheet — A3; A3; Mitigation Interview Sheet — Sheet — A4 A4 (a) and A4 (b); Travel and Miscellaneous Claim Form — Form — B1; B1; Arrest and Remand Claim Form — Form — B2; B2; Bail and Mitigation Claim Form — Form — B3; B3; Trial Claim Form — Form — B4 B4 (a) and B4 (b); and Appeal Claim Form — Form — B5 B5 (a) and B5 (b).

For your convenience, the nine documents have been consolidated and are also attached as a single document in PDF format. Please take note that these interview sheets and claim forms are to be used with effect from 1 that the updated documents are used, kindly discard all May 2017 (Monday) . In order to ensure that previous versions. Any claims submitted after 1 May 2017 using the old documents will not be in compliance, and will be rejected by the Bar Council LACs. Use of the updated documents will standardise the forms submitted by all YBGK lawyers, and will help expedite the claims process. YBGK Circular YBGK Circular No 007/2016/LW dated 29 Nov 2016, entitled “Guidelines “Guidelines on Making Claims for YBGK Work ” is also attached for your reference. If you have any questions or require any clarification in respect of this circular, kindly contact the Bar Council YBGK Secretariat by telephone at 016-343 5202 (Stephanie Bastian) or 03-2072 2050 (Sumitra Veeriah), or by email to [email protected]. [email protected]. Alternatively, you may also contact your State LAC. Thank you. Ravi Nekoo Chairperson Bar Council YBGK Steering Committee

[A1(a)/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) ARREST INTERVIEW SHEET Date: ………………………………. Time of Arrest: ……………….. _______________________ ____________________________________ _________________________ ________________________ ____________________________ ___________________________ _________________ ______ PART A. Details of Suspect

Name: ...................... ...................... ....................... .................... Male Female IC. No: ..................................................................................... Address:.........................................................……………………………… Address:......................................................... ……………………………….................................................................... .................................................................... ………………………………………………................................................ ……………………………………………… ................................................…………………………………………... …………………………………………... Age: .................... Held (Police Station): ................... ............ Contact No: ………………….……….... PART B. Details of Family/Friend (must be above 18 – preferably preferably someone who can be a Bailor)

Name: ………………………………………….................... Relationship: ……………………………………… Address: Same as above: New Address: ……………………………………………………………………… ……................................................ ……..............................................................................………………………………………………………………… ..............................………………………………………………………………… Contact No: ................…………………....... ................…………………....... Can he/she post bail? Yes No PART C: DETAILS OF ARREST: Place of Arrest

1. Time of Arrest (try to be accurate)?........................ ..... 2.Where were you arrested? .................... ............... 2. Did you resist arrest? Yes No 3. Did the Police Officer inform you why you were being arrested? Yes No - If no, do you you know know why you were were arrested? ................. ....................... ........................ ..................... ................. Details of Complainant (only in cases where the complainant is NOT the Police or Enforcement Agency) Do you know the Complainant? Complain ant? Yes No: 1. If yes , relationship with the complainant? …………………………………… a) Is this the first time you have had a problem with the complainant? Yes No Questioning by police 1. Have the police taken a statement from you? Yes No - If yes, what time?...................... ...... (explain to the client that this would be the 112 statement which he would have had to sign and confirm) 2. Did the police A) inform you have a right to See a Lawyer before the statement was taken? Yes: No:

B) Inform you that you need not answer questions that will incriminate you?

Yes:

No:

C) read back to you the statement stateme nt before you signed it?

Yes:

No:

Yes:

No:

D) Allow you to contact a family member/friend

Investigation done by the police 1. As far as you know, know, what other investigative steps have the Police taken? (for example) Kawad cam? Recovered “Barang “Barang K es” es” Interviewed witnesses Taken bodily fluid specimens Others: ………………………………………………………………………………………………………………

[A1(b)/1/5/17]

[A1(a)/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) ARREST INTERVIEW SHEET Date: ………………………………. Time of Arrest: ……………….. _______________________ ____________________________________ _________________________ ________________________ ____________________________ ___________________________ _________________ ______ PART A. Details of Suspect

Name: ...................... ...................... ....................... .................... Male Female IC. No: ..................................................................................... Address:.........................................................……………………………… Address:......................................................... ……………………………….................................................................... .................................................................... ………………………………………………................................................ ……………………………………………… ................................................…………………………………………... …………………………………………... Age: .................... Held (Police Station): ................... ............ Contact No: ………………….……….... PART B. Details of Family/Friend (must be above 18 – preferably preferably someone who can be a Bailor)

Name: ………………………………………….................... Relationship: ……………………………………… Address: Same as above: New Address: ……………………………………………………………………… ……................................................ ……..............................................................................………………………………………………………………… ..............................………………………………………………………………… Contact No: ................…………………....... ................…………………....... Can he/she post bail? Yes No PART C: DETAILS OF ARREST: Place of Arrest

1. Time of Arrest (try to be accurate)?........................ ..... 2.Where were you arrested? .................... ............... 2. Did you resist arrest? Yes No 3. Did the Police Officer inform you why you were being arrested? Yes No - If no, do you you know know why you were were arrested? ................. ....................... ........................ ..................... ................. Details of Complainant (only in cases where the complainant is NOT the Police or Enforcement Agency) Do you know the Complainant? Complain ant? Yes No: 1. If yes , relationship with the complainant? …………………………………… a) Is this the first time you have had a problem with the complainant? Yes No Questioning by police 1. Have the police taken a statement from you? Yes No - If yes, what time?...................... ...... (explain to the client that this would be the 112 statement which he would have had to sign and confirm) 2. Did the police A) inform you have a right to See a Lawyer before the statement was taken? Yes: No:


Yes:

No:

C) read back to you the statement stateme nt before you signed it?

Yes:

No:

Yes:

No:


Investigation done by the police 1. As far as you know, know, what other investigative steps have the Police taken? (for example) Kawad cam? Recovered “Barang “Barang K es” es” Interviewed witnesses Taken bodily fluid specimens Others: ………………………………………………………………………………………………………………

[A1(b)/1/5/17]

[A1(b)/1/5/17] Previous Convictions:

1. Do you have any previous convictions? Yes

No

If yes, how many?......................... ..

2. How many consecutive days have you been in detention (for this offence or any other offence)?.................... Treatment at the police po lice station

1. Have you been assaulted by anyone since your detention? 2.

Yes

No

If yes, by whom?.........................................................................

Special needs

Do you have any special needs/requests? needs/req uests?

Yes

If yes,what? ……………………………..

No

Financial, Social status of the arrested person

1. Where do you work? ........................ ...................... ......................... .......................... . If Own Business

If Employed:

How long have you run this business? ..................... ... How many employees do you have? ......................... ..

How long have you worked there?........................ .. Family business? Yes: Yes:

No:

If yes, relationship with your employer?.................. Marital Status 1. Single

Married

Divorced

2. Do you have any dependents? Yes

Do you have children? Yes No:

No

If yes, who?............................ ...................... ....

3. Who do you live with? ...................... ......................... .......................... ........................ ........................ ............. PART D. DETAILS OF CHARGE

1.

Charge Section:……………………………………………………………….......................... ……………………………………………………………….................................................. ........................

2. Who arrested you: POLICE

RELA

MACC

Others: ………………………………..……..

PART E. FACTS OF CASE & ADVICE GIVEN

1. Facts: ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 2. Advice Given: …………………………………....................................................................................................................................... ………………………………… ....................................................................................................................................... ........................................................................................................................................................................................... Details of Lawyer:

a) Name b) Firm c) Signature

: : :

[A2/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT)

[A2/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) REMAND INTERVIEW SHEET Date : ………………………… OYDS Name: ……………………………………….... IC No : ......................... ....................................... Age: .................... Sex: M /F Police Station of Arrest: .......................................................... Financial, Social status of the arrested person 1. Working? Y / N 2. If Yes, Self Employed / Employed by someone 3. Working at this job for how long ? ……………………………………… 4. If not working : Why? …………………………………………………… Special needs Does OYDS have any special needs/requests? Y / N If yes, pls state: …… Marital Status Single Married Divorced Children? Y / N

Who are the OYDS Dependants (If any)?...................................................... Details of Family/Friend (must be above 18) Name: ………………………………………….................... Relationship: …………………………...……...................... Contact No: ...........………………….......

Consecutive days in Detention:…….……… Special Circumstances (if any): Court Coram: Magistrate: ……………………………………. IO: …………………………………..…… Days Granted: ………………… Next date: .…..…/….…….. Court’s

Instructions::…….…………………..

……………………………………………

DETAILS OF ARREST & OFFENCE: OTHER OFFENCE

DRUG ABUSE/CONSUMPTION OFFENCE

Place of Arrest 1. Time of Arrest (try to be accurate)? ............................ 2.Where were you arrested? ........................ .................... 3. Does OYDS know why he was arrested? ............................................... ........................ ..(Section :........................) Questioning by police 1. Have the police taken a statement from him? Yes No - If yes, what time? ............................ (explain to the client that this would be the 112 statement which he would have had to sign and confirm)

Police taken a sample (urine) from OYDS? Y / N Investigation done by the police 1. As far as OYDS knows, what other investigative steps have the If yes: When? Police taken? (for example) If urine test taken, does he know the results? Kawad cam? Recovered “Barang Kes” Positive Negative Interviewed witnesses Others: ………………………………… Don’t know Previous Convictions: Yes No 1. Does OYDS have any previous convictions? FACTS OF CASE ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… Details of Lawyer Name : Firm : Signature :

[A3/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN

[A3/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) BAIL INTERVIEW SHEET Date: ………………….

Court No:

Magistrate:

PARTICULARS OF ACCUSED 1) Name

: ………………………………………………………………………………..

2) IC No

: ………………………………………………………………………………..

3) Sex

:M/F

4) Age

: ………………………………………………………………………………..

5) Marital Status

: ………………………………………………………………………………..

6) Contact No

: ………………………………………………………………………………..

7) Date of Arrest

: ………………………………………………………………………………..

8) Case No

: ………………………………………………………………………………..

9) Charge

: Section ________________________

PARTICULARS OF SURETY/S 1st Surety

2nd Surety

Parents

Parents

Siblings

Siblings

Employer

Employer

Friend

Friend

Name

Relationship with accused

Contact No Bail application details/comments: __________________________________________________________________________________ __________________________________________________________________________________ _________________________________________________________________________________

Bail Amount Granted: Conditions of Bail Details of Lawyer: Name : Firm : Signature :

RM : ……………………………………………………………………………...

[A4(a)/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) MITIGATION INTERVIEW SHEET Date: ............................ Court No:

Magistrate:

Case No: PARTICULARS OF ACCUSED 1) Name

: ………………………………………………………………………

2) IC No

: ………………………………………………………………………

3) Sex

:M/F

4) Age

: ………………………………………………………………………

5) Contact No

: ………………………………………………………………………

6) Date of Arrest

: ………………………………………………………………………

7) Remand

: YES/NO

8) Charge

: Section (s) :

Remanded Since: …………………

MITIGATION FACTORS 1) Education

: ……………………………………………………

2) Occupation

: ……………………………………………………

3) Role of Accused

: ……………………………………………………

4) Did Accused gain from crime

: ……………………………………………………

5) Influence of external circumstance

:

6) Victimless crime

: ……………………………………………………

7) Special Circumstances

: ……………………………………………………

8) Medical Condition

: ……………………………………………………

9) Dependents

: ……………………………………………………

……………………………………………………

[A4(b)/1/5/17] YAYASAN BANTUAN GUAMAN (BAR COUNCIL YBGK SECRETARIAT) MITIGATION INTERVIEW SHEET 10) Marital Status

: Single / Married / Divorce

11) No of children

: ………………… Age: …………………

12) Sole Breadwinner

: Yes/No

13) Family Background/ Circumstance

:

14) Any previous conviction

: Yes / No

……………………………………………………

If yes please state the previous convictions below: …………………………………………………………………………………………………

Comments _________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

Sentence passed by Court: __________________________________________________________________________________ _________________________________________________________________________________ __________________________________________________________________________________

If custodial sentenced: Yes/No Details of Lawyer Name

:

Firm

:

Signature :

[B1/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) TRAVEL & MISCELLANEOUS CLAIM FORM Personal Details of Lawyers Name Firm Address

*KINDLY SUBMIT GOOGLE MAPS FOR MILEAGE CLAIMS & ORIGINAL RECEIPTS FOR PUBLIC TRANSPORT AND MISCELLANEOUS CLAIMS FAILING WHICH THE CLAIM WILL NOT BE APPROVED

1. Mileage Claim Date

From

To

Type of Work

Distance

Rate

Amount

Total

2. Public Transport Date

From

To

Type of Work

Mode of Transport (Taxi/Airplane/Bus/Train)

Amount

Total B. Grand Total of Travel Claims:

Grand Total Of Travel Claim (Milieage Claims and Public Transport)

RM

C. Miscellaneous Claims Items Total (RM) Parking Toll Charges Photocopy (justify) Court Documents (Justify) Grand Total

I hereby declare that all particulars stated herein are true. Details of Lawyer Name: Firm: Signature:

Stamped By

B2/1/5/17 YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) ARREST & REMAND CLAIM FORM PERSONAL DETAILS OF LAWYERS

Name

:

Duty Date : Duty Location : A) PARTICULARS OF LEGAL CLAIMS No.

Client

I.C. No.

Gender (M/F)

Date of arrest

Arrest

1st Offence Remand remand / Remand Suspected days Amount 2nd of granted remand

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

17. 18. 19.

GRAND TOTAL

RM

I hereby declare that all particulars stated herein are true.

Details of Lawyer Name: Signature:

Stamped By:

Claim

Amount

A. Claim for Arrest & Remand B. Travel Claim C. Miscellaneous Claim

Grand Total Claim

[B3/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) BAIL & MITIGATION CLAIM FORM

LAWYER’S DETAILS

Name Duty Date Court Judicial Officer A. Particulars of Legal Claim

Name of OKT: I/C Number: Court:

Gender: M/F

Case Number : Section Charged Mitigation /Bail : Remarks :

Name of OKT: I/C Number: Court:

Gender: M/F


Amount Name of OKT: I/C Number: Court: Case Number : Section Charged Mitigation /Bail : Remarks :

Gender: M/F


Gender: M/F


Gender: M/F

Amount

I hereby declare that all particulars stated herein are true:

Details of Lawyer: Name : Signature:

Stamped By:


Gender: M/F

Amount Grand total for Bail &Mitigation (RM)

Claim A. Claim for Bail & Mitigation B. Travel Claim C. Miscellaneous Claim Grand Total Claim

Amount

[B4(a)/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) TRIAL CLAIM FORM

Claim

Amount

A. Trial Claim B. Travel Claim

Date of Submission of Claims:

C. Miscellaneous Claim

…………………………..

Grand Total Claim

A. Lawyers Details

Name BC No IC Number Firm Name

Bank Name Account Number Mobile Number Office Phone Number

Address

Email Address

B. Clients Details Client’s Name

Court Criminal Case Number Offence

IC Number

YBGK File Number If client is jointly charged please state the other clients name & YBGK File Number Outcome of Trial

Acquittal & Discharge: DNAA (Give Reasons): Sentence :

C. If client changes plea and Pleads Guilty Date of Change of Plea/Reasons

Mitigating Factors

Sentence

[B4(b)/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) TRIAL CLAIM FORM D) Particulars of Legal Claims for Criminal Files  Please state the date , tick (√) on the work done & st ate the amount according to t he payment schedule  Please use additional sheet if this sheet is insufficient

Date

Interview (Prison/ Detention Centre

Mention* and Case Management

Plea Bargain

Welfare Report

Getting Up Cost

Hearing

PP’s

D’s

Case

case

TOTAL *For more than 3 mentions, please give reasons I hereby declare that all particulars stated herein are true Details of Lawyer Name: Firm: Signature:

Stamped by:

Mitigation

Decision (Mention)

Closing file fee

Amount

Remarks

[B4(b)/1/5/17] YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) TRIAL CLAIM FORM D) Particulars of Legal Claims for Criminal Files  Please state the date , tick (√) on the work done & st ate the amount according to t he payment schedule  Please use additional sheet if this sheet is insufficient

Date


Mention* and Case Management

Plea Bargain

Welfare Report

Hearing

Getting Up Cost

PP’s

D’s

Case

case

Mitigation

Decision (Mention)

Closing file fee

Amount

Remarks

TOTAL *For more than 3 mentions, please give reasons I hereby declare that all particulars stated herein are true Details of Lawyer

Stamped by:

Name: Firm: Signature:

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM

A. Lawyers Details

Firm’s Name Firm’s

C.Miscellaneous Claim Grand Total Claim

Bank Name Account Number Mobile Number Office Phone Number Email Address

Address


Court Appeal/Revision Case Number Offence

IC Number YBGK File Number If client is jointly charged please state the other clients name & YBGK File Number Type of Appeal Outcome of Appeal/Revision (Please attach court order)

Claim A.Claim for Appeal B.Travel Claim

Date of Submission of Claims : ……………………

Name BC No IC Number

[B5(a)/1/5/17]

Appeal against Conviction Appeal against sentence

Amount

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM

[B5(a)/1/5/17] Claim

Amount

A.Claim for Appeal B.Travel Claim

Date of Submission of Claims : ……………………

A. Lawyers Details Name BC No IC Number

C.Miscellaneous Claim Grand Total Claim


Firm’s Name Firm’s

Address


Court Appeal/Revision Case Number Offence

IC Number YBGK File Number If client is jointly charged please state the other clients name & YBGK File Number Type of Appeal


Outcome of Appeal/Revision (Please attach court order)

[B5(b)/1/5/17]

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM C) Particulars of Legal Claims for Criminal Files  Please state the date , tick (√) on the work done & st ate the amount according to t he payment schedule  Please use additional sheet if this sheet is insufficient  Please include court order

Date


Mention

Case Management

Decision

Closing file fee

TOTAL I hereby declare that all particulars stated herein are true Details of Lawyer Name: Firm: Signature:

Stamped by:

Amount

[B5(b)/1/5/17]

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM C) Particulars of Legal Claims for Criminal Files  Please state the date , tick (√) on the work done & st ate the amount according to t he payment schedule  Please use additional sheet if this sheet is insufficient  Please include court order


Date

Mention

Case Management

Decision

Closing file fee

Amount

TOTAL I hereby declare that all particulars stated herein are true Details of Lawyer

Stamped by:


Circular No 006/2016/LW Dated 29 Nov 2016

To Yayasan Bantuan Guaman Kebangsaan (“YBGK ”) lawyers Updated YBGK Interview Sheets and Claim Forms (with Effect from 1 Dec 2016)

It has been brought to our attention that some YBGK lawyers are using outdated interview sheets and claim forms. In order to ensure that standard forms are used, kindly discard all previous forms. Please use these updated documents, which are attached as individual Word documents: (a) (b) (c) (d) (e) (f) (g)

Arrest Interview Sheet — A1 (a) and A1 (b); Remand Interview Sheet — A2; Bail Interview Sheet — A3; Mitigation Interview Sheet — A4 (a) and A4 (b); Travel and Miscellaneous Claim Form — B1; Arrest and Remand Claim Form — B2; Bail and Mitigation Claim Form — B3;


To Yayasan Bantuan Guaman Kebangsaan (“YBGK ”) lawyers Updated YBGK Interview Sheets and Claim Forms (with Effect from 1 Dec 2016)

It has been brought to our attention that some YBGK lawyers are using outdated interview sheets and claim forms. In order to ensure that standard forms are used, kindly discard all previous forms. Please use these updated documents, which are attached as individual Word documents: (a) (b) (c) (d) (e) (f) (g) (h) (i)

Arrest Interview Sheet — A1 (a) and A1 (b); Remand Interview Sheet — A2; Bail Interview Sheet — A3; Mitigation Interview Sheet — A4 (a) and A4 (b); Travel and Miscellaneous Claim Form — B1; Arrest and Remand Claim Form — B2; Bail and Mitigation Claim Form — B3; Trial Claim Form — B4 (a) and B4 (b); and Appeal Claim Form — B5 (a) and B5 (b).

For your convenience, the nine documents have also been consolidated, and are attached as a single document in PDF format. Please take note that these interview sheets and claim forms are to be used effective from 1 Dec 2016 (Thursday). Any claims submitted after 1 Dec 2016 using the old forms will not be in compliance, and will be rejected by the Bar Council Legal Aid Centres (“LACs”). If you have any questions or require any clarification in respect of this circular, kindly contact the Bar Council YBGK Secretariat by telephone at 016-343 5202 (Stephanie Bastian) or 03-2072 2050 (Sumitra Veeriah), or by email to [email protected]. Alternatively, you may also contact your State LAC. Thank you. Ravi Nekoo Chairperson Bar Council YBGK Steering Committee

A1 (a)

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) ARREST INTERVIEW SHEET

Date: ………………………………. Time of Arrest: ……………….. _____________________________________________________________________________________________ PART A. Details of Suspect

Name: ...................... ............................................... .................. Male Female IC. No: ..................................................................................... Address:.........................................................……………………………….................................................................... ………………………………………………................................................…………………………………………... Age: .................... Held (Police Station): ............................... Contact No: ………………….……….... PART B. Details of Family/Friend (must be above 18 – preferably someone who can be a Bailor)

Name: …………………………………………................. ... Relationship: ……………………………………… Address: Same as above: New Address: ……………………………………………………………………… ……..............................................................................………………………………………………………………… Contact No: ................…………………..... .. Can he/she post bail? Yes No PART C: DETAILS OF ARREST: Place of Arrest

1. Time of Arrest (try to be accurate)?........................ ..... 2.Where were you arrested? .......................... ......... 2. Did you resist arrest? Yes No 3. Did the Police Officer inform you why you were being arrested? Yes No - If no, do you know why you were arrested? ........................ ......................... ............................................... ...... Details of Complainant (only in cases where the complainant is NOT the Police or Enforcement Agency) Do you know the Complainant? Yes No: 1. If yes , relationship with the complainant? …………………………………… a) Is this the first time you have had a problem with the complainant? Yes No Questioning by police 1. Have the police taken a statement from you? Yes No - If yes, what time?.......................... .. (explain to the client that this would be the 112 statement which he would have had to sign and confirm) 2. Did the police A) inform you have a right to See a Lawyer before the statement was taken? Yes: No:


Yes:

No:

C) read back to you the statement before you signed it?

Yes:

No:

Yes:

No:


Investigation done by the police 1. As far as you know, what other investigative steps have the Police taken? (for example) Kawad cam? Recovered “Barang Kes” Interviewed witnesses Taken bodily fluid specimens Others: ………………………………………………………………………………………………………………

A1 (b) Previous Convictions:

1. Do you have any previous convictions? Yes

No

If yes, how many?......................... ..

2. How many consecutive days have you been in detention (for this offence or any other offence)?................. ... Treatment at the police station

1. Have you been assaulted by anyone since your detention? 2.

Yes

No

If yes, by whom?.........................................................................

Special needs

Do you have any special needs/requests?

Yes

No

If yes,what? ……………………………..

Financial, Social status of the arrested person

1. Where do you work? ........................ ............................ .............................................. If Own Business

If Employed:

How long have you run this business? ........................

How long have you worked there?..........................

How many employees do you have? ...........................

Family business? Yes:

No:

If yes, relationship with your employer?.................. Marital Status 1. Single

Married

Divorced

2. Do you have any dependents? Yes

Do you have children? Yes No:

No

If yes, who?.......................... ............................

3. Who do you live with? ........................ ................................................. ............................................... .............. PART D. DETAILS OF CHARGE

1.

Charge Section:………………………………………………………………..................................................

2. Who arrested you: POLICE

RELA

MACC

Others: ………………………………..……..

PART E. FACTS OF CASE & ADVICE GIVEN

1. Facts: ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… 2. Advice Given: …………………………………....................................................................................................................................... ........................................................................................................................................................................................... .................................................................................................................................................………………………… Details of Lawyer:

a) Name b) Firm c) Signature

: : :

A2

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) REMAND INTERVIEW SHEET Date : ………………………… OYDS Name: ……………………………………….... IC No : ............................................................... . Age: .................... Sex: M /F Police Station of Arrest: .......................................................... Financial, Social status of the arrested person 1. Working? Y / N 2. If Yes, Self Employed / Employed by someone Working at this job for how long ? ……………………………………… 3. 4. If not working : Why? …………………………………………………… Special needs Does OYDS have any special needs/requests? Y / N If yes, pls state: …… Marital Status Single Married Divorced Children? Y / N

Who are the OYDS Dependants (If any)?...................................................... Details of Family/Friend (must be above 18) Name: …………………………………………................... . Relationship: …………………………...……...................... Contact No: ...........………………….......

Consecutive days in Detention:…….……… Special Circumstances (if any): Court Coram: Magistrate: ……………………………………. IO: …………………………………..…… Days Granted: ………………… Next date: .…..…/….…….. Court’s Instructions::…….…………………..

……………………………………………

DETAILS OF ARREST & OFFENCE: OTHER OFFENCE

DRUG ABUSE/CONSUMPTION OFFENCE

Place of Arrest 1. Time of Arrest (try to be accurate)? ............................ 2.Where were you arrested? .......................... .................. 3. Does OYDS know why he was arrested? ........................ ........................ ........................ .(Section :........................) Questioning by police 1. Have the police taken a statement from him? Yes No - If yes, what time? ............................ (explain to the client that this would be the 112 statement which he would have had to sign and confirm)

Police taken a sample (urine) from OYDS? Y / N Investigation done by the police 1. As far as OYDS knows, what other investigative steps have the If yes: When? Police taken? (for example) If urine test taken, does he know the results? Kawad cam? Recovered “Barang Kes” Positive Negative Interviewed witnesses Others: ………………………………… Don’t know Previous Convictions: 1. Does OYDS have any previous convictions? Yes No FACTS OF CASE ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… Details of Lawyer Name : Firm : Signature :

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) BAIL INTERVIEW SHEET Date: …………………. Court No:

Magistrate:


: ………………………………………………………………………………..

2) IC No

: ………………………………………………………………………………..

3) Sex

:M/F

4) Age

: ………………………………………………………………………………..

5) Marital Status

: ………………………………………………………………………………..

6) Contact No

: ………………………………………………………………………………..

7) Date of Arrest

: ………………………………………………………………………………..

8) Case No

: ………………………………………………………………………………..

9) Charge

: Section _______________________________________________

PARTICULARS OF SURETY/S 1st Surety

2nd Surety

Name IC No Relationship with accused : Contact No

Brief facts of the case & bail application details (*Please use additional sheet if necessary) __________________________________________________________________________________ __________________________________________________________________________________ _________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Bail Amount Granted:

RM

Conditions of Bail

: ……………………………………………………………………………...

Details of Lawyer: Name : Firm : Signature :

A3

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) MITIGATION INTERVIEW SHEET

A4(a)

Date: ............................ Court No :

Magistrate:


: ………………………………………………………………………

2) IC No

: ………………………………………………………………………

3) Sex

:M/F

4) Age

: ………………………………………………………………………

5) Contact No

: ………………………………………………………………………

6) Date of Arrest

: ………………………………………………………………………

7) Remand

: YES/NO

8) Case No

: ………………………………………………………………………

9) Charge

: Section (s) :

Remanded Since: …………………

10) Next of kin contact No : ……………………………………………………………………… MITIGATION FACTORS 1) Education

: ……………………………………………………

2) Occupation

: ……………………………………………………

3) Name & Place of employment

: ……………………………………………………

4) Role of Accused

: ……………………………………………………

5) Did Accused gain from crime

: ……………………………………………………

6) Influence of external circumstance

: ……………………………………………………

7) Victimless crime

: ……………………………………………………

8) Special Circumstances

: ……………………………………………………

9) Medical Condition

: ……………………………………………………

10) Dependents

: ……………………………………………………

Relationship

Age

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) MITIGATION INTERVIEW SHEET 11) Marital Status

: Single / Married / Divorce

12) No of children

: ………………… Age: …………………

13) Sole Breadwinner

: Yes/No

A4(b)

If Accused NOT the sole breadwinner, kindly fill up the following questions 14) Total family expenditure per month

: ……………………………………………………

15) Contribution to family

: ……………………………………………………

16) Spouse’s Occupation

: …………………….

17) Family Background/ Circumstance

: ……………………………………………………

18) Any previous conviction

: Yes / No

Spouse’s Income: …………

If yes please state the previous convictions below: Date

Section

Punishment given

BRIEF FACTS OF THE CASE AND MITIGATION SUBMITTED (*Please use additional sheet if necessary) _________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

Sentence passed by Court: __________________________________________________________________________________ _________________________________________________________________________________ __________________________________________________________________________________ Details of Lawyer Name

:

Firm

:

Signature :

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) TRAVEL & MISCELLANEOUS CLAIM FORM Date: …………………………….. Personal Details of Lawyers Name Firm Address

*KINDLY SUBMIT GOOGLE MAPS FOR MILEAGE CLAIMS & ORIGINAL RECEIPTS FOR PUBLIC TRANSPORT AND MISCELLANEOUS CLAIMS FAILING WHICH THE CLAIM WILL NOT BE APPROVED

1. Mileage Claim Date

From

To

Type of Work

Distance

Rate

Amount

Total

2. Public Transport Date

From

To

Type of Work

Mode of Transport (Taxi/Airplane/Bus/Train)

Amount

Total B. Grand Total of Travel Claims:

Mileage Claim Public Transport Grand Total Of Travel Claim

RM RM RM

I hereby declare that all particulars stated herein are true; Details of Lawyer Name: Firm: Signature:

C. Miscellaneous Claims Items Total (RM) Parking Toll Charges Photocopy (justify) Court Documents (Justify) Grand Total

Stamped By

B1

B2 YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) ARREST & REMAND CLAIM FORM Date: PERSONAL DETAILS OF LAWYERS

Name

:

Duty Date : Duty Location : A) PARTICULARS OF LEGAL CLAIMS No.

Client

I.C. No.

Gender (M/F)

Date of arrest

Arrest

Remand

Offence Remand 1st Amount Suspected days remand / of granted 2nd remand

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

17. 18. 19.

GRAND TOTAL

RM

I hereby declare that all particulars stated herein are true. Claim

Details of Lawyer

Amount

Stamped By: A. Claim for Arrest

Name: Signature: Date :

& Remand B. Travel Claim C. Miscellaneous Claim

Grand Total Claim

B3 YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) BAIL & MITIGATION CLAIM FORM Date: …………………..

LAWYER’S DETAILS Name Duty Date Court Judicial Officer A. Particulars of Legal Claim

Name of OYDS: I/C Number: Court:

Gender: M/F


Name of OYDS: I/C Number: Court:

Gender: M/F


Amount Name of OYDS: I/C Number: Court: Case Number : Section Charged Mitigation /Bail : Remarks :

Gender: M/F



Gender: M/F

Amount

Gender: M/F


Gender: M/F

Amount Grand total for Bail &Mitigation (RM)

I hereby declare that all particulars stated herein are true:

Claim Details of Lawyer: Name : Signature: Date :

Stamped By:

A. Claim for Bail & Mitigation B. Travel Claim C. Miscellaneous Claim Grand Total Claim

Amount

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) TRIAL CLAIM FORM

Claim A. Trial Claim

B4 (a)

Amount

B. Travel Claim Date of Submission of Claims:

C. Miscellaneous Claim

…………………………..

A. Lawyers Details

Grand Total Claim

Name BC No IC Number Firm Name

Bank Name Account Number Mobile Number Office Phone Number

Address

Email Address

B. Clients Details Client’s Name IC Number

YBGK File Number If client is jointly charged please state the other clients name & YBGK File Number Outcome of Trial

Court Criminal Case Number Offence

Acquittal & Discharge: DNAA (Give Reasons): Sentence :

C. If client changes plea and Pleads Guilty Date of Change of Plea/Reasons

Mitigating Factors

Sentence

B4(b)

YAYASAN BANTUAN GUAMAN KEBANGSAAN (KUALA LUMPUR) TRIAL CLAIM FORM D) Particulars of Legal Claims for Criminal Files  

Date

Please state the date , tick (√) on the work done & state the amount according to the payment schedule Please use additional sheet if this sheet is insufficient


Mention *

PreTrial Conference

Case Management

Plea Bargain

Welfare Report

Revision

TOTAL

*For more than 3 mentions, please give reasons I hereby declare that all particulars stated herein are true Details of Lawyer Name: Firm: Signature:

Stamped by:

Getting Up Cost

Hearing PP’s Case

D’s case

Mitigation Decision (Mention)

Closing file fee

Amount

B4(b)

YAYASAN BANTUAN GUAMAN KEBANGSAAN (KUALA LUMPUR) TRIAL CLAIM FORM D) Particulars of Legal Claims for Criminal Files  

Date

Please state the date , tick (√) on the work done & state the amount according to the payment schedule Please use additional sheet if this sheet is insufficient


Mention *

PreTrial Conference

Case Management

Plea Bargain

Welfare Report

Revision

Getting Up Cost

Hearing PP’s Case

D’s case

Mitigation Decision (Mention)

Closing file fee

Amount

TOTAL

*For more than 3 mentions, please give reasons I hereby declare that all particulars stated herein are true Details of Lawyer

Stamped by:


YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM Date of Submission of Claims: ……………………

A. Lawyers Details Name BC No IC Number Firm’s Name Firm’s Address


YBGK File Number If client is jointly charged please state the other clients name & YBGK File Number Type of Appeal Outcome of Appeal (Please attach court order)

Court Appeal Case Number Offence


Claim A.Claim for Appeal B.Travel Claim C.Miscellaneous Claim Grand Total Claim


B5 (a)

Amount

YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM Date of Submission of Claims: ……………………

A. Lawyers Details Name BC No IC Number Firm’s Name Firm’s Address


B5 (a)

Claim A.Claim for Appeal B.Travel Claim C.Miscellaneous Claim

Amount

Grand Total Claim


Court Appeal Case Number Offence

YBGK File Number If client is jointly charged please state the other clients name & YBGK File Number Type of Appeal


Outcome of Appeal (Please attach court order)

B5 (b) YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM D) Particulars of Legal Claims for Criminal Files   

Date

Please state the date , tick (√) on the work done & state the amount according to the payment schedule Please use additional sheet if this sheet is insufficient Please include court order Interview (Prison/ Detention Centre

Mention

Case Management

Appeal

Closing file fee

TOTAL I hereby declare that all particulars stated herein are true Details of Lawyer Name: Firm: Signature:

Stamped by:

Amount

B5 (b) YAYASAN BANTUAN GUAMAN KEBANGSAAN (BAR COUNCIL YBGK SECRETARIAT) APPEAL CLAIM FORM D) Particulars of Legal Claims for Criminal Files   

Date

Please state the date , tick (√) on the work done & state the amount according to the payment schedule Please use additional sheet if this sheet is insufficient Please include court order Interview (Prison/ Detention Centre

Mention

Case Management

Appeal

Closing file fee

Amount

TOTAL I hereby declare that all particulars stated herein are true Details of Lawyer

Stamped by:



To Yayasan Bantuan Guaman Kebangsaan (“YBGK ”) lawyers Guidelines on Making Claims for YBGK Work

The following guidelines are to assist lawyers in making their claims for YGBK work. I.

General Guidelines on Making Claims

Below are guidelines that will assist the YBGK Headquarters in processing your claims: (1) (2) (3) (4)

Please ensure that your handwriting is legible; Please mark the relevant columns clearly; Please ensure that your interview sheets and claim forms are completed; Please use the updated YBGK interview sheets and claim forms, which will come into effect on 1 Dec 2016 (see YBGK Circular No 006/2016/LW, entitled “Updated YBGK Interview Sheets and Claim Forms (with Effect from 1 Dec 2016) ”, dated 29 Nov 2016);


To Yayasan Bantuan Guaman Kebangsaan (“YBGK ”) lawyers Guidelines on Making Claims for YBGK Work

The following guidelines are to assist lawyers in making their claims for YGBK work. I.

General Guidelines on Making Claims

Below are guidelines that will assist the YBGK Headquarters in processing your claims: (1) (2) (3) (4)

(5) (6) (7) (8) (9)

Please ensure that your handwriting is legible; Please mark the relevant columns clearly; Please ensure that your interview sheets and claim forms are completed; Please use the updated YBGK interview sheets and claim forms, which will come into effect on 1 Dec 2016 (see YBGK Circular No 006/2016/LW, entitled “Updated YBGK Interview Sheets and Claim Forms (with Effect from 1 Dec 2016) ”, dated 29 Nov 2016); Please do not use recycled paper to photocopy your interview sheets and claim forms; Please ensure that your travel claims for mileage are attached with maps from “Google Maps” (calculated from the location of your law firm); Please attach original receipts for your public transport and miscellaneous claims; Please ensure that your receipts are pasted on sheets of paper and attached to your claims; and Please ensure that the calculations in your claim forms are correct.

Further, kindly take note of the following: (1) (2)

II.

Lawyers are not allowed to use the photocopier at the Legal Aid Centre (“LAC”) to make copies of interview sheets or claim forms; and Lawyers are not allowed to claim for the cost of photocopying the interview sheets and claim forms. Guidelines on Making Claims for Specific Matters

Below are specific guidelines that will assist YBGK HQ in processing your claims: A. Specific Guidelines on Making Claims for Arrest and Remand Duty 1. Interview Sheet Please submit interview sheets together with your claims for arrest and remand. 2. Time of Arrest Please ensure that your arrest interview sheets and claim forms state the time and place of arrest.

3. Name and IC Number Please ensure that claims made for arrest and remand duty contain the name and identity card (“IC”) number of the Orang Yang Disyaki (“OYDS”, ie the suspect). If there is no IC number, please provide an explanation. 4. Claims Made for Mileage but No Service Rendered If a claim is made for mileage but no service was rendered, please provide an explanation. Eg: I was rostered for duty but when I went there, the police did not bring any OYDS for remand. B. Specific Guidelines on Making Claims for Bail and Mitigation 1. Case Number and Court Please ensure that the case number and court number are stated in the claim forms. 2. Section 3 of the Drug Dependants (Treatment and Rehabilitation) Act 1983 (“Act”) When making a claim for representation under section 3 of the Act, please consider it as a remand application and follow the rate of payment for remand, not bail. 3. Making a Claim When Not Rostered for Duty If you make a claim but you were not rostered for duty, please explain the reason(s) why the claim is being made. Eg: I was not on duty but because there were too many suspects brought to court, I was asked by the State LAC to assist . C. Specific Guidelines on Making Claims upon Completion of a Criminal Trial 1. More than Three Mention Dates If there are more than three mention or case management dates, please provide an explanation for those mention dates. 2. Discharge Not Amounting to Acquittal (“DNAA”) If the court makes an order of DNAA, please give reasons for the DNAA. Eg: Prosecution witness did not attend court. 3. Getting Up Fee for DNAA If the DNAA was given by the court on the second day of trial, then you can claim getting up fees. However you will not be entitled to getting up fees if the DNAA was given on the first day of trial. 4. Getting Up Fees If the Orang Kena Tuduh (“OKT”, ie the accused person) pleads guilty on the first day of trial, you will not be entitled to getting up fees. 5. Outcome of Case Please inform YBGK HQ of the outcome of the trial, ie whether the OKT was acquitted or convicted, and if convicted, the sentence that was passed. 6. Welfare Report If a claim is made for seeing the Welfare Officer in a matter where children are involved, please attach the welfare report.

Circular No 001 2017 LW

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