Divorce Helpline: Motion Application

Preferred Language

Afrikaans
English

APPLICANT PERSONAL INFORMATION



	IMPORTANT: Some text fields have pre-entered text as a guideline to help you fill out the form correctly. In most cases, provision is made for more items (i.e. children) than what you might have. Please delete the unused sections before submitting the form! BELANGRIK: In sekere teksvelde is reeds teks as riglyn om u te help met die korrekte voltooiing van die vorm. In meeste gevalle, is voorsiening gemaak vir meer items (bv. kinders) as wat u mag hê. Vee asseblief alle ongebruikte gedeeltes uit voordat u die vorm indien!



	Full names / Volle name
	Surname / Van
	Maiden name (if applicable) Nooiensvan (indien van toepassing)
	Previous surname(s) / Vorige van
	Identity number / Identiteitsnommer

APPLICANT CONTACT INFORMATION

Residential address
Straatadres

Postal address
Posadres

Contact details
Kontakbesonderhede


Phone / Telefoon
Fax / Faks
Cell / Sel
E-mail / E-pos

APPLICANT EMPLOYMENT INFORMATION


	Company name /Maatskappy naam
	Phone # / Telefoon #
	Occupation / Beroep

	Address Straatadres
	Postal address Posadres

RESPONDENT PERSONAL INFORMATION


	Full names / Volle name
	Surname / Van
	Maiden name (if applicable) Nooiensvan (indien van toepassing)
	Previous surname(s) / Vorige van
	Identity number / Identiteitsnommer

RESPONDENT LAST KNOWN CONTACT INFORMATION

Residential address
Straatadres

Postal address
Posadres

Contact details
Kontakbesonderhede

Phone / Telefoon
Fax / Faks
Cell / Sel
E-mail / E-pos

RESPONDENT LAST KNOWN EMPLOYMENT INFORMATION


	Company name / Maatskappy naam.
	Phone # / Telefoon #.
	Occupation / Beroep.

	Address Straatadres
	Postal address Posadres

INFORMATION ABOUT YOUR MARRIAGE


	Date of marriage / Datum van huwelik.
	Place of marriage / Plek van huwelik.

	Married in community of property. Binne gemeenskap van goedere.

	Married out of community with the accrual. Getroud buite gemeenskap van goedere met aanwasbedeling.

	Married out of community without the accrual Getroud buite gemeenskap van goedere sonder aanwasbedeling.

	Reasons for divorce Redes vir egskeiding	1. 2. 3. 4.

INFORMATION ABOUT THE CHILD(REN) IN YOUR MARRIAGE

How many children where born from
this marriage?
Aantal kinders gebore uit die huwelik?

Child(ren)

Who keeps custody and control of the
minor child(ren)?

Wie behou beheer en toesig oor die minderjarige kind(ers)?

(Plaintiff or Defendant)

State the maintenance amount to be
paid for each minor child(ren)
(compulsory)

Wat is die bedrag wat as onderhoud
betaal sal word betreffende elke minderjarige kind? (verpligtend)

(monthly / maandeliks)

State contact with the minor child(ren)
by the Plaintiff / Defendant

Noem die toegang/kontak regte met
minderjarige kind(ers) deur die ander
party

Who will be responsible for the
following costs regarding the minor
child(ren)?

Wie is verantwoordelik vir die
volgende kostes aangaande die
minderjarige kind(ers)?

Medical aid / Mediese fonds
Medical costs (in case of no medical aid) Mediese kostes (ingeval van geen mediese fonds)
School fees / Skoolgelde
Tertiary education fees Universiteitkostes

	Full names, gender, date of birth, age of each child:



	AFFIDAVIT

	When last did the Applicant have any contact with the Respondent?


	Who left the communal home?


	Give a short description of your marriage and the circumstances surrounding the home abandonment.


	Which steps were taken to find the Respondent?


	Which steps were taken to come in contact with the Respondents family and friends?

Important:

How did you find us?

Important: Your application will only be processed once proof of payment has been received by our offices. The fee for this service is R2 950.00 (Court Representation R550). After making payment, please fax your proof of payment to us as soon as possible to prevent any delays in the processing of your application.