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IN THE COURT OF SH.

, JMIC, CHANDIGARH
Complaint No ____ of 2015

Subject : Domestic Violence Act 2005 complaint U/s


12, 18, 19, 20, 22 and 23 of Protection of
Women

from

Domestic

Violence

Act

2005(Herein After referred as ACT).

APPLICATION FOR ISSUANCE OF DIRECTIONS TO


THE

RESPONDENTS

TO

PROVIDE

PROTECTION

UNDER

SECTION

18

OF

THE

ACT

ISSUE

DIRECTIONS

TO

THE

RESPNDENT

PROVIDE ACCOMMODATION IN

AND

ALSO
TO

ACCORDANCE WITH

SECTION 19 OF THE ACT AND ALSO TO PROVIDE


MONETARY

RELIEF

IN

ACCORDANCE

WITH

SECTION 20 OF THE ACT AND ALSO PROVIDE


COMPENSATION ORDERS U/S-22 OF THE ACT.

Respected Sir,
Applicants respectfully submit as under :-

RESPECTFULLY SHOWETH

That the Applicants are victim of domestic violence


at hands of the Respondents hence, seeks the
indulgence of this Hon'ble Court for the grant of
protection orders as the Respondents have indulged into
verbal and emotional abuse, economic violence and
violence in man y other ways. The present application is
being filed by Applicants /aggrieved persons against

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