In the County Court
[Principal Registry of the Family Division]
No. of Matter
Between
(Petitioner)
and
(Respondent)
Question Answer
About the Divorce Petition
1. Have you read the petition 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 or 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 briefl y 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 have respectively periods of residence
From To you know the various addresses lived since the last date given at each address:
Petitioner’s Address at which you and
in the answer to Question
From To the respondent
4, and the
Respondent’s
Address
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 address and the period (or periods), giving dates.
About the children of the family
9. Have you read the statement of arrangements fi led in this case?
10. Do you wish to alter anything in the statement of arrangements or add to it?
If so, state the alterations or additions.
11. Subject to these alterations and additions (if any) is everything stated in the statement of arrangements true?
If any statement is not within your own knowledge, indicate this and say whether it is true and correct to the best of your information and belief.
of
make oath and say as follows:-
1. I am the petitioner in this cause.
2. The answers to questions 1 to 11 above are true.
3. I identify the signature
appearing on the copy acknowledgment of service now produced to me and marked ‘A’
as the signature of my husband/wife, the respondent in this cause.
4. I identify the signature
appearing at part IV of the statement of arrangements dated
now produced to me and marked ‘B’ as the signature of the respondent.
5.
6. I ask the court to grant a decree dissolving my marriage with the respondent on the ground stated in my petition [and to order the respondent/co-respondent to pay the costs of this suit].
Sworn at )
)
in the County of )
)
this day of , 20 )
Before me,
A Commissioner for Oaths
Offi cer of the Court appointed by the Judge to take Affi davits.