5 Additional Conditions

You must also comply with any conditions that are indicated below by a check mark ( check only those that are reasonable in the circumstances of the offence and necessary, to ensure the accused’s attendance in court or the safety and security of any victim of or witness to the offence, or to prevent the continuation or repetition of the offence or the commission of another offence ):

□ (a) You must report to (name or title) at (place) on (date or dates) .

□ (b) You must remain within the following territorial jurisdiction: .‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.

□ (c) You must notify (name, title and phone number) of any change of your ( address, employment or occupation ).

□ (d) You must not communicate, directly or indirectly, with .‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍, except in accordance with the following conditions: .‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.

□ (e) You must not go to ( places which are related to the person(s) mentioned in the condition set out in paragraph (d) ), except in accordance with the following conditions: .‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.

□ (f) You must not enter the areas (describe in detail the boundaries of the areas related to the person(s) mentioned in the condition set out in paragraph (d)) , except in accordance with the following conditions: .‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.

□ (g) You must deposit all your passports with (name or title) at (place) before ( date ).

□ (h) You must reside at ( place ), be at that residence between ( hour ) and (hour), and present yourself at the entrance of that residence when a peace officer or (name and title of another person) requests you to do so within those hours.

□ (i) You must not possess a firearm, cross-bow, prohibited weapon, restricted weapon, prohibited device, ammunition, prohibited ammunition or explosive substance and you must surrender those that are in your possession and also any authorization, licence or registration certificate or other document enabling you to acquire or possess them to (name or title) at (place) .

□ (j) You promise to pay the amount of .‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍. ( not more than $ 500 ), if you fail to comply with a condition of this undertaking.

□ (k) You must deposit money or other valuable security whose value is equal to the amount of .‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍.‍. ( not more than $ 500 ) with (name or title) , because you are not ordinarily resident in the province or do not reside within 200 km of the place in which you are in custody.