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FORM 2 [Regulation 3] APPLICATION FOR …

Department of Justice and Constitutional Development 1 J59 REPUBLIC OF SOUTH AFRICA form 2 [ regulation 3 ] APPLICATION FOR protection ORDER SECTION 2(1) OF THE protection FROM HARASSMENT ACT, 2011 (ACT NO. 17 OF 2011) In the Magistrate s Court for the District of .. APPLICATION number: .. Name of complainant: .. This form is to be lodged with the clerk of the court Is the complainant in possession of or in the process of applying for a Yes No protection order against harassment or stalking as provided for in the Domestic Violence Act, 1998 (Act No.)

Department of Justice and Constitutional Development 1 J59 . REPUBLIC OF SOUTH AFRICA . FORM 2 [Regulation 3] APPLICATION FOR PROTECTION ORDER . SECTION 2(1) OF THE PROTECTION FROM HARASSMENT ACT, 2011 (ACT NO. …

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