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Domestic Violence Application

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IN THE __________

APPLICATION UNDER SECTION 12 OF THE PROTECTION OF WOMEN FROM DOMESTIC VIOLENCE ACT, 2005

IN THE MATTER OF

VERSUS

MOST RESPECTFULLY SHOWETH:

4. That the acts stated above are domestic violence within the meaning of the Act, and the Applicant is an aggrieved person entitled to apply under section 12 of the Act.

6. That this Hon'ble Court has jurisdiction because __________.

PRAYER

It is therefore most respectfully prayed that this Hon'ble Court may be pleased to pass the following orders:

Interim and ex parte orders (section 23 of the Act): that, while this application is pending, and without waiting for the Respondent to appear if the Court finds it necessary, the orders above be made on an interim basis.

Such other order as the Court thinks just.

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