Annexure Form Divorce – Fill Out and Download the PDF

Enter the Case No and the Division, then the Plaintiff / Applicant and the Defendant / Respondent.

Under 1. Particulars of Plaintiff / Applicant, enter the Postal Address and the Residential Address.

For the Plaintiff / Applicant, enter the Telephone No (Home), the Gross Monthly Income, the Extent of Financial Commitments, the Name and Address of Employer and the Telephone No (Work).

Under 2. Particulars of Defendant / Respondent, enter the Postal Address and the Residential Address.

Enter the Telephone No (Home), the Gross Monthly Income and the Extent of Financial Commitments.

For the Defendant / Respondent, enter the Name and Address of Employer and the Telephone No (Work). Under 3. General Information, state the full name, gender and date of birth of each minor or dependent child of the marriage on lines 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10. State with whom the children are living at present. State where the children are to live, furnish particulars of the accommodation, what other persons (name them) are living there and who will look after the children. If it is proposed that the children should be in the care of a person other than yourself, state whether or not that person has agreed to this arrangement and state the relationship of such other person to the children.

State the name of the school or other educational establishment which your children are at present attending, or, if any of them are already working, their place of employment, the nature of their work and details of any training they are receiving. Attach copies of the most recent school reports.

If it is envisaged that the children, after the conclusion of the action / application, will have to change schools, give full details.

If any of the children experience learning problems or are in any respect physically or mentally disabled, give full details and attach recent medical reports.

State who is supporting the children at present, or contributing to their support, and to what extent. State the details of any arrangement made regarding rights of access of your husband / wife.

Set out any further details concerning your minor or dependent children which may be relevant to the custody of, access to any financial provision for such children, e.g. whether any such children have been convicted of any criminal offence or whether any such children have been subject to any order in terms of the child care act, 1983. (act no. 74 of 1983) State briefly the extent to which the arrangements regarding your minor or dependent children are the result of mutual agreement with your husband / wife. If you or a member of your family are known to a welfare organisation or agency, state the name of the organisation / agency and where it operates. Enter SIGNED AT, THIS DAY OF and the 20 line, then sign on the SIGNED line.

The deponent signs in the presence of the Justice of the Peace / Commissioner of Oaths, who then signs.

Write the full name of the deponent on the I line. The deponent signs on the SIGNATURE OF DEPONENT line only in the presence of the Justice of the Peace / Commissioner of Oaths, and by signing declares under oath / truly affirms that to the best of the deponent's knowledge and belief the statements in this declaration are true, complete and correct. Before administering the oath / affirmation, the Justice of the Peace / Commissioner of Oaths asked the deponent the following questions and wrote down his / her answers in his / her presence: 1. Do you know and understand the contents of the declaration?

2. Do you have any objection to taking the prescribed oath?

3. Do you consider the prescribed oath to be binding on your conscience?

The Justice of the Peace / Commissioner of Oaths certifies that the deponent has acknowledged that he / she knows and understands the contents of this declaration, and then signs, and enters the full name, the designation (rank) and area for which appointed, the business address, the date and the place.