Form 7 – Affidavit
Domestic Violence and Protection Orders Act 2008
In the Magistrates Court of the Australian Capital Territory
DV/RO/WO 09/………………

………………………………………….
Applicant

…………………………………………..
Respondent

I, (name and address)  .......................................................................................................

............................................................................................................................................

Say on oath/solemnly affirm:

1.	I am the applicant;

2.	The statements contained in the application dated .....................................
and filed herein are true and correct to the best of my knowledge and 
belief.

3.	I am the aggrieved person,
I am the litigation guardian,
I am a Police Officer (delete whichever is inapplicable).

SWORN / AFFIRMED before me this

............... day of ......................... 20

at CANBERRA in the said Territory.			...........................................
									Applicant

...............................................................
          Justice of the Peace/Solicitor