Protection from Harassment Act, 2011 (Act No. 17 of 2011)

Regulations

Protection from Harassment Regulations, 2013

Annexures

Form 14 [Regulation 16(1)]
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REQUEST FOR ADDITIONAL EVIDENCE

SECTION 5(4)(b) OF THE PROTECTION FROM HARASSMENT ACT, 2011 (ACT NO. 17 OF 2011)

 

(CONFIDENTIAL)

(MUST BE COMPLETED IN DUPLICATE)

 

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

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

 

 

To: ......................................................................................................................................................................................................................................................................................................(station commander) of the ...........................................................................................................................................................................................................................................police station

 

(a)         Facsimile number of Magistrate's Court

(b)         Phone number of Magistrate's Court .............................

 

* Mark with a cross whichever is applicable

 

 

To be completed by  the magistrate:

1.On .....................................................................................................(date) an application was made by the station commander of the ............................................................(police station) for—

 

 

(a)

an extension of the time period within which the affidavit must, in terms of section 5(3) (a) of the Protection from Harassment Act, 2011, be submitted to court

*

(b)

the cancellation of the direction on the grounds that, after a reasonable investigation of the matter, the South African Police Service is not in a position to determine the name and address of the respondent or obtain any other information which is required in order to identify or trace the respondent

*

 

2.In order to consider the request set out in paragraph 1, above, the station commander is hereby requested to give the following additional information in the form of an affidavit to this court:

................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

3.        I hereby direct that Mr/Ms ........................................................................................................................................................................................................................................................................................................................... (name, surname and designation of person identified by the court to serve the request), must serve this request on the station commander identified in this request in accordance with regulation 28 of the Protection from Harassment Regulations, 2013.

 

4.         The responding affidavit of the station commander 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: .....................................................................................................................................................................................................................................

 

5.         The information requested in terms of paragraph 2 of this request must be furnished to the court by not later than ....................................... (date and time) in the form of an affidavit, prescribed by regulation 16(4) of the Protection from Harassment Regulations, 2013, which must be filed with the clerk of the court by -

(a)         delivering the affidavit to the clerk of the court; or

(b)         sending the affidavit by means of a facsimile to the facsimile number of the clerk of the court identified in this request the manner prescribed by regulation 29 of the Protection from Harassment Regulations, 2013.

 

 

______________________________________________

____________________________________

MAGISTRATE

DATE

 

 

Office stamp

 

 

6. TO BE COMPLETED BY PERSON WHO IS DIRECTED BY THE COURT TO SERVE REQUEST ON STATION COMMANDER

 

(a)  I ................................................... (name and surname of person) am the person who is identified by the court  in terms of paragraph 3 to serve this request on the station commander identified in this request.

 

(b) I hereby certify that on ......................................................................................................................................................................(date) at...............................................................(time) at ..................................................................................................................................(place), I served the request on the following member of the South African Police Service who has identified himself/herself as:

 

* Name and surname: ..........................................................................................................................................................................................

* Rank: .................................................................................................................................................................................................................

 

Signature of person on whom the request is served: ..........................................................................................................................................

Persal number of person on which direction is served: ........................................................................................................................................

 

Signature of clerk of the court/sheriff: ..............................................................................................................................................................

Date: ..........................................................................

 

 

CONFIDENTIAL

 

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