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

Regulations

Protection from Harassment Regulations, 2013

Annexures

Form 16 [Regulation 17]
Purchase cart Previous page Return to chapter overview Next page

 

DECISION OF COURT

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

 

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

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

 

 

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

 

Facsimile number of station commander:...........................

Phone number of station commander:  .............................

 

 

To be completed by  the magistrate:

* Mark with a cross whichever is applicable

 

1. Your application in terms of section 5(3)(b) of the Protection from Harassment Act, 2011, 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

*

 

is -

 

successful

*

unsuccessful

*

 

2. The following reasons are provided why your application is unsuccessful:

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

 

3. I hereby order Mr/Ms..............................................................................................................................................................................................(name and surname of clerk of the court identified by the court), to serve this document on the station commander of the .......................................(police station) in accordance with regulation 29 of the Protection from Harassment Regulations, 2013.

 

 

______________________________________________

____________________________________

MAGISTRATE

DATE

 

4. TO BE COMPLETED BY  CLERK OF THE COURT WHO IS DIRECTED BY THE COURT TO SERVE DECISION ON STATION COMMANDER.

 

I, ................................................... (name and surname) am the person who is identified by the court  in terms of paragraph 3 to serve this document on the station commander identified in this document. My contact details are as follows:

Facsimile number:.................................................................................

Telephone number: ..............................................................................

Cellular phone number: ........................................................................

E-mail address: .....................................................................................

Physical address: ......................................................................................................................................................................................................................................................................................................................................................................................................................................................

Signature: ...................................................................

Persal number: ...........................................................

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

 

 

Office stamp

 

 

***********************************