Form 13 – Undertaking by litigation guardian
Domestic Violence and Protection Orders Act 2008
In the Magistrates Court of the Australian Capital Territory

DV/RO/WO 09/………………

………………………………………….
Applicant

…………………………………………..

Respondent

I, ..........................................................................................................................................

of (address) ........................................................................................................................,

state that:

1.	I have no interest in these proceedings that is adverse to the interests of the applicant/respondent;

2.	I agree to be appointed as the next friend/litigation guardian of the applicant/respondent; and

3.	I agree to be responsible for the costs in the proceeding that the applicant/respondent would otherwise be required to pay.

Dated this ................... day of ................................................ 20

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Next Friend / Litigation Guardian

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Witness
(Registrar, legal practitioner or 
  Justice of the Peace)