Form 6	Application for registration of recognised order
Domestic Violence and Protection Orders Act 2008, s 103
In the Magistrates Court of the Australian Capital Territory

DV/RO/WO ……. /………………

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 ................................................... 20…….