This is the exhibit marked “A” Referred to in the Affidavit of (name of person making application) Affirmed on this day of 20 Before me A Commissioner for Oaths INFORMATION IN SUPPORT OF APPLICATION Part A – Applicant’s Particulars 1. My particulars are as follows: (a) Name: (b) NRIC No. (for Singapore citizen) or No., type and country of issue of foreign identification document (for foreign citizen): (c) Citizenship: (d) Gender: (e) Date of birth: (f) Address: (g) Telephone No.: (h) Email address: (i) Language(s) spoken: Part B Information in support of application – 2. I am applying for an order that the protection order / expedited protection order* made on
This is the exhibit marked “A” Referred to in the Affidavit of (name of person making application) Affirmed on this day of 20 Before me A Commissioner for Oaths INFORMATION IN SUPPORT OF APPLICATION Part A – Applicant’s Particulars 1. My particulars are as follows: (a) Name: (b) NRIC No. (for Singapore citizen) or No., type and country of issue of foreign identification document (for foreign citizen): (c) Citizenship: (d) Gender: (e) Date of birth: (f) Address: (g) Telephone No.: (h) Email address: (i) Language(s) spoken: Part B – Information in support of application 2. I am applying for an order that the protection order / expedited protection order* made on
Form%20241_Affidavit%20for%20PO%20or%20EPO%20Summons.docx