Affidavit Format Under Section 23

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Affidavit format under Section 23(2) of The Protection of

Women from Domestic Violence Act, 2005.


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,
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.

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