Form 7 Protection Order - Department Of Justice
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REPUBLIC OF SOUTH AFRICA
FORM 7
[Regulation 8(b)]
PROTECTION ORDER
SECTION 6 OF THE DOMESTIC VIOLENCE ACT, 1998 (ACT NO. 116 OF 1998)
(This form must be completed if an interim protection order was not issued).
IN THE MAGISTRATE’S COURT FOR THE DISTRICT OF ____________________
HELD AT ___________________
APPLICATION NO._______/_____
In the matter between:
APPLICANT: ______________________________________________________
(*Id.No./Date of Birth:_________________________________)
AND
RESPONDENT: ____________________________________________________
(*Id.No./Date of Birth:_________________________________)
1. PARTICULARS OF RESPONDENT
Home Address:
______________________________________________
______________________________________________
______________________(Tel.No._______________)
Work Address:
______________________________________________
______________________________________________
________________________(Tel.No._______________),
Occupation:______________________________________________________
2. PARTICULARS OF APPLICATION
Whereas the Applicant has applied for a Protection Order against the
Respondent as per the affidavit(s) and record of oral evidence(if any) attached,
and an interim protection order was not issued, and after consideration of the
application the Court now makes the order hereunder.
3. ORDER BY COURT
3.1 The Court orders that :
3.1.1 *The application for a Protection Order is dismissed; or
3.1.2 *An Interim Protection Order is granted; and the Respondent is ordered-
3.1.2.1 *not to commit the following act(s) of domestic violence _______________
Department of Justice and Constitutional Development
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