Protection from Harassment Act, 2011 (Act No. 17 of 2011) Regulations Protection from Harassment Regulations, 2013 Annexures Form 11 [Regulation 13]

 

DIRECTION TO STATION COMMANDER TO INVESTIGATE

COMPLAINT OF HARASSMENT IN ORDER TO DETERMINE NAME

AND ADDRESS OR ANY OTHER INFORMATION WHICH MAY BE

REQUIRED TO IDENTIFY OR TRACE RESPONDENT

SECTION 5(1)(b) AND (2) OF THE PROTECTION FROM HARASSMENT ACT, 2011 (ACT NO. 17 OF 2011)

 

(CONFIDENTIAL)

(MUST BE COMPLETED IN DUPLICATE)

 

 

Application No. ...................................../20.......................................

DIRECTION  NO ................................................./20............................

 

 

To: ............................................................................................................................................. (name and surname of station commander) of the .....................................................................................................(name of  police station) Physical address of police station: ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Telephone number of station commander: ........................................................................................................................

 

 

* Delete whichever is not applicable

 

To be completed by the magistrate:

1. On ...............................................(date) an application for the issuing of an interim protection order against the harassment of the *complainant /*related person was considered by me ...........................................................(name and surname of magistrate) in the Magistrate's court for the district of.........................................................................................................................................................................................................................................................................

 

2. As a result of evidence that was produced to the court I am satisfied in terms of section 3(2) of the Protection from Harassment Act, 2011 (Act No. 17 of 2011), that an interim protection order must be issued as a result of the harassment of the *complainant/*related person by a person whose identity and/or address is/are unknown to the *complainant/*related person.

 

3. The relevant particulars of the *complainant/*related person are as follows:

3.1        Full names and surname...........................................................................................................................................................

3.2        Address: ..................................................................................................................................................................................

3.3        Identity number: .....................................................................................................................................................................

3.4        Contact number:  .....................................................................................................................................................................

 

4. You are hereby directed to contact the *complainant/*related person and to investigate the matter with a view to—

(a)         determining the name and address of the respondent; and/or

(b)         obtaining any other information which may be required in order to identify or trace the respondent.

 

5. The information obtained as a result of your investigation must be submitted to this court on ....................................................... (date on which information must be submitted to court).

 

6. You may, in terms of section 5(3)(b) of the Protection from Harassment Act, 2011, apply to the court for—

(a)        an extension of the period referred to in paragraph 5 on the ground that the information cannot be provided timeously; or

(b)        the cancellation of the direction on the ground that after a reasonable investigation of the matter the South African Police Service was unable to—

 

7. In terms of section 5(2) of the Protection from Harassment Act, 2011, I hereby direct that Mr/Ms ................................................................................................................ (name, surname and designation of person identified by the court to serve direction), must serve this direction on the station commander identified in this direction in the manner prescribed by regulation 28 of the Protection from Harassment Regulations, 2013.

 

8. The affidavit in terms of section 5(3)(a), or the affidavit in terms of section 5(3) (b) , of the Protection from Harassment Act, 2011, must be filed with the clerk of the court whose particulars are as follows:

(a)        Name and surname of clerk of the court: ................................................................................................................................

(b)        Street address of court: ..........................................................................................................................................................

(c)        Contact number of clerk of the court: .....................................................................................................................................

(d)        Facsimile number of clerk of the court: ..................................................................................................................................

 

 

 

 

 

(CONFIDENTIAL)

 

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