r 20(1)(a)
Form G 5
Application form for order (or declaration) on notice
at …………
…………………………
[place]
………………………………………………………………………………………..
[full name]
………………………………………………………………………………………..
[address]
………………………………………………………………………………………..
[occupation]
Applicant
………………………………………………………………………………………..
[full name]
………………………………………………………………………………………..
[address]
………………………………………………………………………………………..
[occupation]
Respondent(s)
[Set out full description of document (including whether it is made with or without
notice), its date, the Act under which the document is filed, and, in the case of an
ffidavit or affirmation, the name of the deponent in whose support it is filed.] a
This document is filed by
[name and address for service, and, if filed by lawyers, the name and telephone
umber of the acting lawyer.] n
In the Family Court FAM No: …………………….
................................................
2
[If the application form is not otherwise provided in these rules.]
I, ...…………………………………………………………………………………..
[full name of applicant]
apply for
[
state precisely the nature of the order(s) or declaration(s) sought]
T
his application is made on the grounds that
[specify the grounds on which the application is made, following the wording of the
ct as closely as may be, and referring to any authority relied on.] A
………………………………...
Signature of applicant
………………………………...
Date
3
To the Registrar
Family Court
at …………………………………
...
[place]
and
To
[set out the names and addresses of the persons intended to be served with the
pplication] a
This application is filed by
………………………………………………………………………………………..
[full name]
whose address for service is
………………………………………………………………………………………..
[address]
[The Registrar must complete the following appointment for hearing if an
appearance is necessary or required.]
Date of hearing
I appoint ……………..……….…………
[date] at …………….….…….… [time]
at the Family Court at ………………..……………..
[place] for the hearing of this
application.
………………………………...
Registrar
………………………………...
Date
................................................
4
Notes
A
dvice
If you need help, consult a lawyer or contact a Family Court office immediately.
O
ffice hours
The office of the Family Court is open from 9.00 am to 5 pm on Mondays to
Fridays inclusive.
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