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

Regulations

Protection from Harassment Regulations, 2013

Annexures

Form 8 [Regulation 10(1)]
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REQUEST FOR ADDITIONAL EVIDENCE BY WAY OF AFFIDAVIT

FROM ELECTRONIC COMMUNICATIONS SERVICE PROVIDER

SECTION 4(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: ......................................................................................................................................................................................................................................................................................................

(Electronic communications service provider)

 

(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 above-mentioned electronic communications service provider for—

 

*(a)

an extension of the five court day period for a further period of five court days within which the affidavit must, in terms of section 4(3)(a) of the Protection from Harassment Act, 2011, be submitted to court

*

 

*(b)

the cancellation of the direction on the ground that the electronic communications service provider does not provide an electronic communications service to the respondent

*

 

*(c)

the cancellation of the direction on the ground that the electronic communications service provider does not provide an electronic communications service to the complainant or related person

*

 

*(d)

the cancellation of the direction on the ground that the requested information is not available in the records of the electronic communications service provider

*

 

2. In order to consider the request set out in paragraph 1, above, the electronic communications service provider is hereby requested to give the following additional evidence in the form of an affidavit to this court:

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

 

3. I hereby direct Mr/Ms ............................................................... (name, surname), who is a clerk of the court, to serve this request, in accordance with regulation 29 of the Protection from Harassment Regulations, 2013, on the electronic communications service provider to the following facsimile number:...........................................................................................................................

 

4. 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 which corresponds substantially with Form 9 of the Annexure to the Protection from Harassment Regulations, 2013, and which must be filed with the clerk of the court whose particulars appear in paragraph 6 of this request in accordance with regulation 29 of the Regulations.

 

5.        The affidavit must at all times be marked as confidential.

 

 

______________________________________________

____________________________________

MAGISTRATE

DATE

 

 

Office stamp

 

 

6. TO BE COMPLETED BY THE CLERK OF THE COURT WHO IS DIRECTED BY THE COURT TO SERVE THE REQUEST ON ELECTRONIC COMMUNICATIONS SERVICE PROVIDER

 

I, ................................................... (name and surname) am the clerk of the court who is directed to serve this request on the electronic communications service provider.

My contact details are as follows:

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

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

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

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

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

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

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

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

 

 

(CONFIDENTIAL)

 

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