(REGULATION 3 OF THE MEDIATION IN CERTAIN DIVORCE MATTERS REGULATIONS, 1990)
REQUEST TO FAMILY ADVOCATE TO INSTITUTE AN ENQUIRY IN TERMS OF SECTION 4 OF THE MEDIATION IN CERTAIN DIVORCE MATTERS ACT, 1987 (ACT NO 24 OF 1987)
1. DETAILS OF APPLICANT REQUESTING ENQUIRY:
FULL NAME:
RESIDENTIAL ADDRESS:
POSTAL ADDRESS:
TELEPHONE NUMBERS: (Home):
(Work):
Attorney:
2. IS APPLICANT A PARTY TO AN ACTION/APPLICATION INVOLVING MINOR OR DEPENDENT CHILDREN?
3. WHERE WAS THE ACTION/APPLICATION INSTITUTED/LODGED?
4. WHEN WAS THE ACTION/APPLICATION INSTITUTED/LODGED?
5. COURT FILE REFERENCE NUMBER OF ACTION/APPLICATION:
6. NAMES, AGES AND GENDER OF MINOR OR DEPENDENT CHILDREN INVOLVED IN ACTION/APPLICATION:
7. DETAILS OF OTHER PARTY INVOLVED IN ACTION/APPLICATION:
FULL NAME:
RESIDENTIAL ADDRESS:
POSTAL ADDRESS:
TELEPHONE NUMBERS: (Work):
(Sel):
8. FULL DETAILS OF REASONS WHY AN ENQUIRY IS REQUESTED:
9. ARE YOU OR A MEMBER OF YOUR FAMILY KNOWN TO ANY WELFARE ORGANISATION OR AGENCY? IF SO, STATE THE NAME OF THE ORGANISATION/AGENCY AND WHERE IT OPERATES
_________________________
APPLICANT'S ATTORNEY
BOSTON LEGAL
1 Union Street
EMPANGENI
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