Act, 2005, [CD1]
As per Section 23 (2) If the Magistrate is satisfied that
an application prima facie discloses that the respondent is committing, or has
committed an act of domestic violence or that there is a likelihood that the
respondent may commit an act of domestic violence, he may grant an ex parte
order on the basis of the affidavit in such form, as may be prescribed, of the
aggrieved person under section 18, section 19, section 20, section 21 or, as
the case may be, section 22 against the respondent.
Sample format of Affidavit to be filed under Section 23(2)
along with Application under Section 12 of The Protection of Women from
Domestic Violence Act, 2005 is given below:
IN THE COURT OF JUDICIAL MAGISTRATE AT _________
CASE NO. __________ OF
20__
IN THE MATTER OF:
MRS. W_________
COMPLAINANT
VERSUS
MR. H __________
RESPONDENT
Police Station : _________________
AFFIDAVIT
I, __________________ Wife of Mr. ________________ Resident
of ______________________________, D/o Mr. _________________
R/o__________________________ presently residing at____________ do solemnly
affirm and declare on oath as under:
1. That
I am the Applicant in the accompanying Application for ____________ filed for
myself and for my daughter / son.
2. That
I am the Natural guardian of ______________________________.
3. That
being conversant with the facts and circumstances of the case I am competent to
swear this Affidavit.
4. That
the Deponent had been living with the Respondent at _________ since ______ to
________
5. That
the details provided in the present Application for the grant of relief under
Section (s) _________ have been entered into by the Deponent / at my
instructions.
6. That
the contents of the said application have been read over, explained to me in
English/ Hindi / any other local language (Please specify ______________)
7. That
the contents of the said application may be read as part of this affidavit and
are not being repeated herein for the sake of brevity.
8. That
the Applicant apprehends repetition of the acts of domestic violence by the
Respondent (s) against which relief is sought in the accompanying application.
9. That
the Respondent
has threatened the applicant that
________________
10.
That the relief claimed in the accompanying
application are urgent in as much as the applicant would face great financial
hardship and would be forced to live under threat of repetition / escalation of
acts of domestic violence complained of in the accompanying application by the
Respondent (s) if the said reliefs are not granted on the ex parte ad interim
basis.
11.
That the facts mentioned herein are true and
correct to the best of my knowledge and belief and nothing material has been
concealed therefrom.
DEPONENT
VERIFICATION
Verified at ____________ (Place) on this___ day of
___________ that the contents of Paras 1 to 12 of the above application are
true and correct to the best of my knowledge and belief nothing in Material has
been concealed therefrom.
DEPONENT
Note
The above affidavit should be attached with Application
under Section 12 of The Protection of Women from Domestic Violence Act, 2005.
[CD1]Format of Affidavit under Section 23(2) to be attached
with Application under Section 12 of the Protection of Women from Domestic
Violence
Act,
2005,
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