Form 6 – Application for registration of recognised order
Domestic Violence and Protection Orders Act 2008
In the Magistrates Court of the Australian Capital Territory
DV/RO/WO 09/………………

………………………………………….
Applicant

…………………………………………..
Respondent

To the Registrar of the Magistrates Court,

I request that the attached certified copy of the order made by the 
……………………………………………………………………… be registered in the ACT Magistrates Court.

………………………………
Applicant
Dated this ...................................... day of .......................................................... 2009.