Undertaking by hR2mHk

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Undertaking
Family Law Act 1975
Please type or print clearly and mark [X] all boxes that
apply. Attach extra pages if you need more space to
answer any question/s.                                        File number

Filed in:                                                     Filed at

     Family Court of Australia                                Filed on

     Family Court of Western Australia                        Court location


                                                              Court date

                                                              Time



Part A             About the parties
    APPLICANT 1                                                  RESPONDENT 1
1   Family name as used now                                      Family name as used now


    Given names                                                  Given names



    APPLICANT 2                                                  RESPONDENT 2
    Family name as used now                                      Family name as used now


    Given names                                                  Given names




Part B             About the child representative (if appointed)

2   Child representatives family name                          Given names




Part C             About the Party giving this undertaking

3   Family name as used now                                      Given names



4   What is your address?



                                                      State                     Postcode
                                                                                                           2



    Part D              Undertaking
5      I undertake to the Court:




    And I agree to be bound by this undertaking until       /      /       or excused by the court.



6     I acknowledge that:
      (a) The nature and terms of the undertaking have been explained to me; and
      (b) I promise that court that I will comply with the terms of the undertaking; and
      (c) The undertaking has the same effect as an order of the court; and
      (d) If I breach the undertaking, I may be guilty of contempt of the court and may be punished by a
          fine or imprisonment.

     Date           /       /


    Signature of person giving the undertaking




    Part E              Certificate of lawyer

      I am the lawyer for the person giving the undertaking and I certify that I have explained to the
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      person giving the undertaking:
      (a) The nature and terms of the undertaking; and
      (b) That the undertaking is a promise to the court to comply with its terms; and
      (c) That the undertaking has the same effect as an order of the court; and
      (d) That a breach of the undertaking may be a contempt of the court punishable by a fine or
          imprisonment.

      I acknowledge that if the person giving the undertaking has not signed above, I give the
      undertaking on his or her behalf.


8     Signature of lawyer



       Print name

								
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