IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE DC/PHA No. of 20 In the matter of an application under section 12(1) of the Protection from Harassment Act 2014 (Act 17 of 2014) And In the matter of an application by Name of Applicant) (Specify ID type) No. (Specify NRIC) ….Applicant SUMMONS FOR LEAVE TO APPEAL To: 1. Information of Applicant/Solicitor(s) for the Applicant/Respondent/Solicitor(s) for the Respondent Tel No: Fax No: Email: File Ref No. : Solicitor in charge: Let all parties concerned attend before the Court on the date and time to be assigned for the hearing of an application for the following order: 1. 2. 3. Grounds of application: 1. (State the grounds here) or (As set out in the affidavit of [name]). Issued by: Information of Applicant/Solicitor(s) for the Applicant/ Respondent/Solicitor(s) for the Respondent Tel No: Fax No: Email: File Ref No. : Solicitor in charge:
IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE DC/PHA No. of 20 In the matter of an application under section 12(1) of the Protection from Harassment Act 2014 (Act 17 of 2014) And In the matter of an application by Name of Applicant) (Specify ID type) No. (Specify NRIC) ….Applicant SUMMONS FOR LEAVE TO APPEAL To: 1. Information of Applicant/Solicitor(s) for the Applicant/Respondent/Solicitor(s) for the Respondent Tel No: Fax No: Email: File Ref No. : Solicitor in charge: Let all parties concerned attend before the Court on the date and time to be assigned for the hearing of an application for the following order: 1. 2. 3. Grounds of application: 1. (State the grounds here) or (As set out in the affidavit of [name]). Issued by: Information of Applicant/Solicitor(s) for the Applicant/ Respondent/Solicitor(s) for the Respondent Tel No: Fax No: Email: File Ref No. : Solicitor in charge: