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Uncontested Divorce – with Attorney and Advocate representation:

If you are human, leave this field blank.

A. Applicant Personal Information *

Maiden name:

ID no: *

Cell no: *

Residential address: *

Postal address: *

E-mail: *

Name of employer: *

Employers address: *

Occupation: *

B. Defendant Personal Information: *

Maiden name:

ID no: *

Cell no: *

Residential address: *

Postal address: *

E-mail: *

Name of employer: *

Employers address: *

Occupation: *

C. Date of marriage: *

D. Marriage Agreement: select one *

(when married out of community of property an antenuptial contract will be required)

E. Place of marriage: *

F. Reasons for divorce: *

G. Information about dependent/s (children/minor) *

Provide full names, gender, age, date of birth of each dependent/s:

With whom are the dependent/s currently living with:

Names of school/s or tertiary institution:

Who has custody/control of the dependent/s?:

State the maintenance amount to be paid for each dependent (required):

Visitation rights details: i.e weekday/weekend/school holidays:

Who is responsible for the following costs regarding the dependent/s?:

Medical aid:

Medical costs if no medical aid:

School or tertiary education fees:

H. If married in community of property, select one: *

I. If married out of community your assets will be divided as per your prenuptial agreement:

J. Financial Details of the plaintiff: *

Fund name/s and membership number/s:

Does the defendant lay claim to any of thee above?: *

K. Financial details of the Defendant: *

Fund name/s and membership number/s:

Does the Plantiff lay claim to any of thee above?: *