Form 7 - Affidavit by gtu20753

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									Form 7 – Affidavit
Domestic Violence and Protection Orders Act 2008
In the Magistrates Court of the Australian Capital Territory
DV/RO/WO 09/………………


………………………………………….
Applicant


…………………………………………..
Respondent



I, (name and address) .......................................................................................................

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

Say on oath/solemnly affirm:


1.        I am the applicant;

2.        The statements contained in the application dated .....................................
          and filed herein are true and correct to the best of my knowledge and
          belief.

3.        I am the aggrieved person,
          I am the litigation guardian,
          I am a Police Officer (delete whichever is inapplicable).



SWORN / AFFIRMED before me this

............... day of ......................... 20

at CANBERRA in the said Territory.                                                    ...........................................
                                                                                                 Applicant




...............................................................
          Justice of the Peace/Solicitor


                                                  Approved form under
 AF2009-157                                                                                                            page 1
                                              Court Procedures Act 2004, s 8

                               Unauthorised version prepared by ACT Parliamentary Counsel’s Office

								
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