Fillable Form G 7: Information sheet to accompany certain (Ministry of Justice New Zealand)

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Form G 7: Information sheet to accompany certain (Ministry of Justice New Zealand)

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r 20(1)(b)
Form G 7
Information sheet to accompany certain applications
(including certain applications made without notice)
at …………
…………………………
[place]
T
his information sheet accompanies for the following order(s):
1. ……………………………………….. 2. …...….………………………………
3. ……………………………………….. 4. …...….………………………………
5. ……………………………………….. 6. …...….………………………………
Applicant's full name: ……………………………………………………………….
Occupation: ...……………………………………………………………………….
Date of birth: ...……………………………………………………………………...
Age: ...……………………………………………………………………………….
Gender: ...……………………………………………………………………………
Ethnic group:
[select the box or boxes which apply]
New Zealand European
Maori
Samoan
Cook Island Maori
Tongan
Niuean
Chinese
Indian
Other [D
utch, Japanese, Tokelauan, etc.]
Please state: ...………………………………………………………………
In the Family Court FAM No: …………………….
................................................
2
I
nterpreter required:
[
select the option that applies]
yes
no
If yes, specify language: ...………………………………………………………….
*Home address: ..……………………………………………….…………………...
*Work address: ...…………………………………………………………………...
*Contact telephone number(s):
………...……....…...………………
[home] ….…......…......….…………… [work]
*Countr
y of residence: ...……………………………………………………………
Relationship of applicant to any children affected by the application [if none write
"none" on line 1]: (for example, parent, guardian, spouse or partner of a parent,
family member (specify), donor).
Full name of child Relationship of respondent to child
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
*The applicant may delete these items from the copies to be served.
3
Full name of other party (or other applicant [in the case of a join application]):
…
……………………………………………………………………………………..
Relationship, if any, to applicant (or other applicant): (for example, married to, or
in a de facto relationship with, the applicant, or other applicant, even if they are
currently separated).
………………………………………………………………………………………..
Occupation: ...……………………………………………………………………….
Date of birth: ...……………………………………………………………………...
Age: ...……………………………………………………………………………….
Gender: ...……………………………………………………………………………
E
thnic group:
[select the box or boxes which apply]
New Zealand European
Maori
Samoan
Cook Island Maori
Tongan
Niuean
Chinese
Indian
Other [D
utch, Japanese, Tokelauan, etc.]
Please state: ...………………………………………………………………
I
nterpreter required:
[
select the option that applies]
yes
no
If yes, specify language: ...………………………………………………………….
Home address: ….…………………………………………………………………...
Work address: ….…………………………………………………………………...
Contact telephone number(s):
………..….….….…….….………
[home] ………...….……………….…… [work]
Country of residence: ….……………………………………………………………
4
Relationship of applicant to any children affected by the application [if none write
"none" on line 1]: (for example, parent, guardian, spouse or partner of a parent,
amily member (specify), donor). f
Full name of child Relationship of respondent to child
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
……………………………………………… ……………………………………....
[Complete this section if the applicant and respondent are married to each other or
are in a de facto relationship,or if joint applicants are married to each other or in
a de facto relationship, even if currently separated]
Date of marriage or civil union: …………………………..……………..…..
[date]
Place of marriage or civil union: ………………………………..………….
[place]
or
Date by which de facto relationship had begun: ……………………...……..
[date]
Children affected by the application: [if none write "none" on line 1]
Name of person with whom each child is
living at the time of application, and the
Full name of each relationship (if any) of that person to the
child. Date of birth child.
.……….…...…………….. ……….……. ……………..……………..…..…..…………..
.……….…...…………….. ……….……. ……………..……………..…..…..…………..
.……….…...…………….. ……….……. ……………..……………..…..…..…………..
.……….…...…………….. ……….……. ……………..……………..…..…..…………..
.……….…...…………….. ……….……. ……………..……………..…..…..…………..
The accompanying applications are filed by
…………………………………………………………………………...…………...
[full name]
whose address for service is at
……………………………………………………………………………………......
[address]
5
P
revious applications:
[give the file number of any previous applications between the parties, and the Courts
here they were filed] w
For Court use: Date Stamp:
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Form G 7: Information sheet to accompany certain (Ministry of Justice New Zealand)

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Completed 5 October 2020

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