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D84 Application for a decree nisi/conditional order or (judicial) separation decree/order (04.14) © Crown Copyright 2014
Application for a decree nisi/
conditional order or
(judicial) separation
decree/order
To be completed by the Petitioner
Name of court Case No.
Name of Petitioner
Name of Respondent
Name of Co-Respondent
(if applicable)
Fee charged/Remission ID
If completing this form by hand, please use black ink and BLOCK CAPITAL LETTERS.
Please complete section A or B
(please tick boxes as appropriate)
Section A – undefended case
The Petitioner (insert full name)
applies to the Judge for a
decree nisi/conditional order of divorce dissolution nullity in this case.
(judici
al) separation decree/order in this case.
The Petitioners statement in support of the divorce / dissolution / nullity / (judicial) separation is lodged with
this application.
Section B – defended case
The Petitioner (insert full name)
applies for a Case Management hearing before the (district) judge.
Signed
Petitioner/Solicitors for Petitioner (delete as appropriate)
Dated
D D M M Y Y Y Y
/ /
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