In the Magistrate's Court for the District/Region of ...................................................................................

held at .......................................... Case No. ........................................ of 20.........

In the matter between

..................................................................................................................... Plaintiff

and

................................................................................................................. Defendant

[Order in terms of section 54(2) of the Magistrates' Courts Act, 1944 (Act 32 of 1944)].

To the Plaintiff's Attorney/the Defendant's Attorney.

The following is a recital of what took place at a conference held in chambers at............on the.......day of..........., 20.... between the parties and/or their representatives:

(1)        ....................................................................................................................................

(2)        ....................................................................................................................................

(3)        ....................................................................................................................................

(4)        ....................................................................................................................................

(5)         ....................................................................................................................................

Dated at ......................................... this ............................ day of ................................., 20.......,

By Order of the Court,

......................................................................

Registrar/Clerk of the Court.

To: Plaintiff's Attorney.

To: Defendant's Attorney.