ઘરેલું હિંસા સંરક્ષણ આદેશ અરજી

IN THE COURT OF [court_name] CASE NO. ________ OF 20____ APPLICATION UNDER SECTION 12 OF THE PROTECTION OF WOMEN FROM DOMESTIC VIOLENCE ACT, 2005 IN THE MATTER OF: [applicant_name] residing at [applicant_address] ... AGGRIEVED PERSON / APPLICANT VERSUS [respondent_name] Address: [respondent_address] ... RESPONDENT MOST RESPECTFULLY SHOWETH: 1. That the Applicant is an aggrieved person within the meaning of the Protection of Women from Domestic Violence Act, 2005 (the Act), and is or has been in a domestic relationship with the Respondent. Relationship of the Applicant to the Respondent: [relationship]. 2. FACTS AND INCIDENTS OF DOMESTIC VIOLENCE 2.1 The facts, and the incidents of domestic violence suffered by the Applicant, with dates and places as far as the Applicant can recall them, are as follows: [incident_details] 2.2 Domestic Incident Report, if any, recorded by a Protection Officer or service provider: [dir_details] 3. CHILDREN Details of the children, if any: [children_details] 4. OTHER PROCEEDINGS Details of any other proceedings between the Applicant and the Respondent: [other_proceedings] 5. JURISDICTION That this Hon'ble Court has jurisdiction under section 27 of the Act as ______________________________ (state whether the Applicant permanently or temporarily resides or carries on business or is employed, or the Respondent resides or carries on business or is employed, or the cause of action has arisen) within the local limits of its jurisdiction. 6. RELIEFS SOUGHT That the Applicant seeks the following reliefs under sections 18 to 22 of the Act: [relief_sought] 7. INTERIM AND EX PARTE RELIEF Interim relief sought under section 23 of the Act pending the final disposal of this application, including ex parte orders on the basis of the affidavit of the Applicant where the circumstances so require: [interim_relief] 8. That this application is made in good faith and in the interest of the safety and well-being of the Applicant. PRAYER It is therefore most respectfully prayed that this Hon'ble Court may be pleased to: (a) Grant the reliefs sought in paragraph 6 above under sections 18 to 22 of the Act; (b) Pass such interim and, where necessary, ex parte orders under section 23 of the Act as this Hon'ble Court deems fit, including any interim relief stated in paragraph 7 above; (c) Pass any further order this Hon'ble Court deems appropriate for the protection of the Applicant under the Act. Place: ______________ Date: [filing_date] [applicant_name] AGGRIEVED PERSON / APPLICANT Through (if represented) ______________________ ADVOCATE FOR THE APPLICANT VERIFICATION I, [applicant_name], the Applicant above named, do hereby verify that the contents of paragraphs ______ of this application are true to my personal knowledge, and the contents of paragraphs ______ are based on information received and believed by me to be true. No part of it is false and nothing material has been concealed. Verified at ______________ on [filing_date]. [applicant_name] APPLICANT