A 78
CAP. 179]
Matrimonial Causes Rules
[1987 Ed.
[Subsidiary]
L.N. 135/76.
[Rule 33(2A).]
FORM 21(4)
Affidavit by Petitioner in Support of Petition under Section 11A(1)(e) of Matrimonial Causes Ordinance
[Heading as in Form 3]
QUESTION
1. Have you read the petition filed in this case?
2. Do you wish to alter or add to any statement in the petition? If so, state the alterations or additions.
3. Subject to these alterations and additions (if any), is everything stated in your petition true? If any statement is not within your own knowledge, indicate this and say whether it is true to the best of your information and belief.
4. State the date on which you and the respondent separated.
5. State briefly the reason or main reason for the separation.
6. State the date when and the circumstances in which you came to the conclusion that the marriage was in fact at an end.
7. State as far as you know the various addresses at which you and the respondent have respectively lived since the date given in the answer to Question 4, and the periods of residence at each address:
Petitioner's Address: From
to
Respondent's Address: From
to
8. Since the date given in the answer to Question 4, have you ever lived with the respondent in the same household? If so, state the addresses and the period or periods, giving dates.
ANSWER
I, of (), make oath and solemnly, sincerely and truly affirm and say as follows:
1. I am the petitioner in this cause.
2. The answers to Questions 1 to 8 above are true.
(1) I identify the signature (2) appearing on the copy acknowledgement of service now produced to me and marked “A” as the signature of my husband/wife, the respondent in this cause.
(3) () Delete if the acknowledgement is signed by a solicitor.
(2) Insert name.
(*) Exhibit any other documents on which the petitioner wishes to rely.
<*> If the petitioner seeks a judicial separation, amend accordingly.
(5) Delete if costs are not sought.
5. I ask the Court to grant a decree dissolving my marriage with the respondent (4) on the grounds stated in my petition [and to order the respondent to pay the costs of this suit] (5).