Form 15	Application for registration of foreign FVO as recognised FVO
Family Violence Act 2016
(see s 134A and s 134B)

In the Magistrates Court of the Australian Capital Territory

FVO ........ / 20........

...................................................................................................................(full name)
Applicant

	□	I am a protected person under the foreign FVO
	□	I am the applicant for the registration of the foreign FVO but not 		a protected person under it
	□	I am the respondent to the foreign FVO 
	□	Other (please specify your interest in the registration of the 			foreign FVO) 
(Tick whichever is applicable, and for ‘other’ attach details of your interest)

Details of foreign FVO
	□	New Zealand District Court
	□	New Zealand Family Court
	□	Other Court or authority (please specify):
	by............................................................................. (name of court or authority) 
	*in /*at................................................................. (jurisdiction, division, location)
	of................................................................................................... (country)
	on......................................................................................... (date order made)
	□	*The foreign FVO /* A certified copy of the foreign FVO is 		attached 

To the Registrar of the Magistrates Court:

I, ............................................................................................................. (full name),
request that the order referred to above be registered in the ACT as a recognised FVO.

................................................................... Dated: ______ /______ /20_____
(Signature of applicant, or applicant’s solicitor)

................................................................................................................................
(Name of applicant, or applicant’s solicitor)
*delete if inapplicable
□ tick if applicable