FAMILY LAW

APPLICATION BY WIFE UNDER SECTIONS 12, 17, 18, 19, 20,

22 AND 23 OF THE PROTECTION OF WOMEN FROM
DOMESTIC VIOLENCE ACT, 2005 (ACT NO. 43 OF 2005)

BEFORE THE HON’BLE METROPOLITAN MAGISTRATE’S ______ COURT AT

_______________, _____________
CASE NO. ___________ OF 20_____

____________________________ )

alias _________ wife of ____________ )

an adult, aged about ______ years, )

at present residing at ___________ )

_________________________________ ).…Applicant

Versus

1. ____________________________ )

an adult, Indian Inhabitant, )

aged about ______ years and )

2. ____________________________ )

an adult, Indian Inhabitant, )

aged about ______ years and )

both of ______________, Indian )

Inhabitants, residing at )

__________________________ )

__________________________ )

__________________________ )….Respondents

1
FAMILY LAW

APPLICATION UNDER SECTIONS 12, 17, 18, 19, 20, 22 AND 23 OF THE
PROTECTION OF WOMEN FROM DOMESTIC VIOLENCE ACT, 2005 (ACT
NO. 43 OF 2005) (“the Said Act”);

THE HUMBLE APPLICATION OF THE ABOVENAMED APPLICANT/

AGGRIEVED WOMAN.

MOST RESPECTFULLY SHEWETH AS UNDER: -

1. The Applicant is legally wedded wife of Respondent No.1 and their

marriage was solemnized as per Hindu Rites, Ritual and Customs on

______________ at _______ in the State of ________________. Respondent No.2 is

the Father of Respondent No. 1 and Father–in-Law of the Applicant. Hereto

annexed and marked as Exhibit A is the copy of Marriage Certificate dated

_____________ of the marriage solemnized between the Applicant and the

Respondent No. 1.

2. The Respondent No.1 is posted as the ____________ in

_______________________ at ___________ and is drawing a salary of

approximately Rs. __________/- (Rupees _________________ only) per annum

plus several perquisites such as Driver allowance, house allowance,

mediclaim etc. The Respondent No.2, although a retired person, works as a

freelancer consultant earning around Rs. _____________/- (Rupees

____________________ only) per month.

3. The Applicant states that prior to their marriage and at the

instance of the Respondents at the residence of the Applicant’s parents in

___________, a ring ceremony was performed on _____________. The entire cost

2
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

3
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

4
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

5
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

6
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

7
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

8
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

9
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

10
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

11
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

12
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

13
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

14
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

15
FAMILY LAW

PAGES 3 TO 16 NOT AVAILABLE FOR PREVIEW

16