Application for Divorce (Plaintiff)

16 Pages·2013·0.57 MB·English

Application for Divorce (Plaintiff)
wef 13/2/2013 – Version 1

This form will take you 20 minutes to complete if you have the relevant documents.
Instructions:
1) To speed up your divorce application for legal aid, please complete all the sections in
this form before coming down for your first appointment. There are 12 sections to be
completed. You may seek the assistance of your family or friend to fill up this form.
2) Bring all necessary and relevant documents (please refer to checklist at the side) on
your first appointment.
3) Please write legibly in the fields below and tick, circle, or delete where necessary.

Name and NRIC:__________________________________

(1) PARTICULARS OF YOUR MARRIAGE Checklist of documents
Note: Photocopies of
documents submitted are
(a) Date of Registration: _ _ / _ _ / _ _ _ _ (dd/mm/yy)
for the Bureau’s retention.

Place of Registration: ROM / Others (please specify)  Original Marriage
___________________________________ Certificate for verification
 3 photocopies of your
(b) Date of Solemnisation: _ _ / _ _ / _ _ _ _ (dd/mm/yy) Original Marriage
Certificate

Place of Solemnisation: ROM / Others (please specify)

____________ _________________

(c) Marriage Certificate No.: ______________

(2) REASONS FOR DIVORCE

4 YEARS SEPARATION:
My spouse and I have been sleeping/living separately for at least
the past 4 years. Since our separation, we do not have any sexual
relations or do any household chores for each other or go out
together as a family.
 Yes (continue on to Section 3 oNno p age 3)
↓

3 YEARS SEPARATION:
My spouse and I have been sleeping/living separately for the
past 3 years. Since our separation, we do not have any sexual
relations or do any household chores for each other or go out
together as a family. My spouse also agrees to sign the consent
to divorce.
 Yes (continue on to Section 3 oNno p age 3)
↓
Checklist of documents
UNREASONABLE BEHAVIOUR (UB): Note: Photocopies of
documents submitted are for
the Bureau’s retention.

I am unable to tolerate my spouse’s unreasonable behaviour(s) (please tick if submitting)
and this/these happened within the past 6 months (if Yes, please (For UB)
tick those that apply and then continue on to Section 3 on page 3):  Photocopies of Police
reports related to spouse’s
unreasonable behaviour
 Photocopies of Medical
 Violence against me and/or children
reports related to spouse’s
unreasonable behaviour
 Often use of vulgarities or abusive language
 Photo/video evidence
related to spouse’s
 Excessive drinking
unreasonable behaviour
 Excessive gambling  Photocopies of
Documentary evidence
related to spouse’s
 Drug abuse
unreasonable behaviour
 Borrowing from loansharks or licensed moneylenders
No

↓
 Improper association with a 3rd party

2 YEARS DESERTION:
 Failure to provide for the family
My spouse has deserted me for a continuous period of at least 2
 Forced you to do things against your will
years. My spouse left without my agreement and wanted to bring
the mFaairlruiraeg eto t oc aarne efonrd fwamheilny s he/he left me.

 YReesf (ucsoen ttion uhea voen stoe xSueactli orenl a3t ioonn psa wgei t3h)o ut valid reason
No

↓
 Others (please specify):
(For adultery)
ADULTERY:  Private Investigator’s
Report on adultery
My spouse has committed adultery and I find it intolerable to  Photocopies of Birth
live with him anymore. I only know of the adultery less than 6 certificate of illegitimate
child(ren)
months ago. (You will need strong evidence to proof of the
adultery e.g. Private investigator’s report, birth cert of  Photographic evidence of
adultery
illegitimate child, photographs or videos of parties having sexual
 Video evidence of adultery
relations or very intimate positions, or a sworn statement /
statutory declaration from the spouse that has committed  Photocopy of Sworn
statement / statutory
adultery.)
declaration from spouse that
committed adultery
 Yes (continue on to Section 3 on page 3)
No
 Others (please specify):
↓

If the answers to all the above boxes are “No”, OR if you have
been married for less than 3 years, please seek legal advice on
your options. You can do so at the Legal Aid Bureau if you are
eligible for legal aid. If you are not eligible, please see a private
lawyer, or seek advice from a legal clinic.

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(3) LAST ADDRESS AT WHICH YOU AND YOUR Checklist of documents
Note: Photocopies of
SPOUSE LIVED TOGETHER:
documents submitted are for

the Bureau’s retention.
______________________________________
(please tick if submitting)

(4) HAVE YOU / SPOUSE SOLD ANY PROPERTY IN
THE LAST 12 MONTHS? Yes / No

If YES, please state:

i) Address:

______________________________________  HDB Completion
Statement for sold flat
ii) Type of property: Public / Private
iii) When the property was sold: _______________
iv) Amount of cash you got: S$________________
Amount of cash spouse got: S$______________

(5) YOUR PARTICULARS

(a) Nationality: Singaporean / PR
 Photocopy of your IC
(b) Birth date: _ _ / _ _ / _ _ _ _ (dd/mm/yyyy)
(c) Race: Malay / Indian / Chinese / Eurasian / Others
(please specify) _______________________
(d) Religion: Buddhist / Christian / Catholic / Islam /
Hindu / Taoist / Others (please specify)
______________________
(e) Highest education attained: None / Primary /
Secondary / N-levels / O-levels / Vocational (ITE) / A-
levels / Diploma from Polytechnic / Diploma from
Private Institution / Bachelor’s Degree / Others (please
specify) _____________________________
(f) Current occupation: _______________________
(g) Current address: _________________________
(h) Current contact number: ___________________
(i) Bankruptcy status: Never made a bankrupt /
Undischarged bankrupt / Discharged bankrupt
Bankruptcy number: _________________________

(6) YOUR SPOUSE’S PARTICULARS
 Photocopy of spouse’s IC
(a) Nationality: Singaporean / PR / Others: _______
or passport

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(b) Birth date: _ _ / _ _ / _ _ _ _ (dd/mm/yyyy) Checklist of documents
Note: Photocopies of
documents submitted are for
the Bureau’s retention.
(c) Race: Malay / Indian / Chinese / Eurasian / Others

(please tick if submitting)
(please specify): ______________________

(d) Religion: Buddhist / Christian / Catholic / Islam /

Hindu / Taoist / Others (please specify):
______________________
(e) Highest education attained: None / Primary /
Secondary / N-levels / O-levels / Vocational (ITE) / A-
levels / Diploma from Polytechnic / Diploma from
Private Institution / Bachelor’s Degree / Others (please
specify) _____________________________
(f) Current occupation: _______________________
(g) Gross monthly income: ____________________
(h) Current / last known address:
__________________________________________
(i) Current contact number: ___________________
(j) Bankruptcy status: Never made a bankrupt /
Undischarged bankrupt / Discharged bankrupt
Bankruptcy number: _________________________

(7) RELATED COURT PROCEEDINGS (circle where

applicable):

(a) Family Violence: Yes / No  Photocopies of PPO, EO,
CGO, DEO
If yes, circle whether there is/are: PPO / EO / CGO / DEO
 Photocopies of
(b) Maintenance: Yes / No Maintenance Order
 Photocopies of Custody
(c) Custody, Care and Control and/or Access to the
Order
children of the marriage: Yes / No
 Photocopies of Previous
Divorce Order
(d) Juvenile or Youth Court proceedings in respect to
 Photocopies other related
children of the marriage: Yes / No Court Order(s)
(e) Previous Divorce Proceedings: Yes / No
(f) Other proceedings that may be relevant to this divorce
application: ________________________________

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Checklist of documents
Note: Photocopies of
(8) HOW MANY CHILDREN ARE THERE IN THIS
documents submitted are for
the Bureau’s retention.
MARRIAGE? _______

For children below 21 years of age, continue on to Annex-A1 on (please tick if submitting)

page 8.
 Photocopies of all the
For children above 21 years of age, continue on to Annex-A2 on children’s birth certificates

page 12.

(9) MATRIMONIAL HOME

(a) Type of Property: HDB flat / HDB rental flat / Others
 Photocopy of your CPF
Public Housing Withdrawal
(please specify): _____________________________
Statement
(b) Type of ownership:
 Photocopy of the
Joint tenancy with (name)_______________ / outstanding mortgage loan
statement
Sole tenancy by (name)_________________

/ Tenancy in common (specify name and %)

i) ______________________________

ii) ______________________________

iii) ______________________________

(c) For HDB flat, type of flat: 1 / 2 / 3 / 4 / 5 –room /

Executive Apartment / Others ________________

(d) Proposed arrangements after the divorce:

 Option 1: The flat will be surrendered to the HDB.

 Option 2: The rental agreement with the HDB will be

terminated.

 Option 3: The flat will be sold in the open market

and the net sales proceeds after deducting the

outstanding mortgage loan, refunding parties’ CPF

including accrued interests, and after deducting costs

and expenses related to sale of the flat including agent’s
fees, shall be divided
__________% to me, __________% to my spouse.

 Option 4: My share in the flat will be transferred to:
my spouse / my spouse and a 3rd party / the 3rd party
without / with CPF refunds and
without / with cash of $________________

 Option 5: My share in the flat will be transferred to:
me / me and a 3rd party / the 3rd party
without / with CPF refunds and
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without / with cash of $________________

 Option 6: Others (please specify)
__________________________________
(For official use: HDB Referral
Form applies: Yes / No
(e) Where do you plan to stay after the divorce: If applicable, to attach
completed referral form in case
______________________________________________ file.)

(10) MATRIMONIAL ASSETS (such as CPF monies,
shares, insurance, motor vehicle etc.)
(a) Are there any other matrimonial assets to be divided
in this divorce? Yes / No
(b) If answer to (a) is “Yes”, list assets below:

Assets Mine [Value ($)] Spouse’s [Value $)]
i CPF moneys

ii Shares
iii Insurance policies
iv Motor vehicle

v Others (please
specify type and
value, if known)

(11) MAINTENANCE
(a) If you are the wife:
i) For myself, I wish / do not wish to claim
maintenance from my husband.
ii) For the children, they will be with me after the
divorce, and I wish / do not wish to claim the
children’s maintenance from my husband. OR
iii) For the children, they will be with my husband
after the divorce, and I wish / do not wish to provide
maintenance for the children.

(b) If you are the husband:
i) For my wife, I wish to / do not wish to provide
maintenance for her.
ii) For the children, they will be with me after the
divorce, and I wish / do not wish to claim the
children’s maintenance from my wife. OR
iii) For the children, they will be with my wife after
the divorce, and I wish / do not wish to provide
maintenance for the children.

(c) Monthly expenses: Please complete Annex-B on page 14.

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(12) Statement of Truth – the Applicant must complete and sign this section

I believe that the facts stated in this statement in support of my application for divorce are true

Print full name: _____________________________________________________________

Signed:________________________ Dated: _ _ / _ _ / _ _ _ _ (dd/mm/yyyy)

Legal actions may be brought against a person who makes or causes to be made, a false
statement in a document verified by a statement of truth.

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Annex-A1
For children below the age of 21 years old:
(A) CHILDREN’S PARTICULARS (Child 1 being the eldest child)
NATIONALITY
Child 1 Singaporean / PR / Others:
Child 2 Singaporean / PR / Others:
Child 3 Singaporean / PR / Others:
Child 4 Singaporean / PR / Others:

RELIGION
Child 1 No religion / Buddhist / Christian / Catholic / Islam / Hindu / Taoist / Others:
Child 2 No religion / Buddhist / Christian / Catholic / Islam / Hindu / Taoist / Others:
Child 3 No religion / Buddhist / Christian / Catholic / Islam / Hindu / Taoist / Others:
Child 4 No religion / Buddhist / Christian / Catholic / Islam / Hindu / Taoist / Others:

RACE
Child 1 Malay / Indian / Chinese / Eurasian / Others (please specify):
Child 2 Malay / Indian / Chinese / Eurasian / Others (please specify):
Child 3 Malay / Indian / Chinese / Eurasian / Others (please specify):
Child 4 Malay / Indian / Chinese / Eurasian / Others (please specify):
Child 5 Malay / Indian / Chinese / Eurasian / Others (please specify):
Child 6 Malay / Indian / Chinese / Eurasian / Others (please specify):

DISABILITY
Child 1 Yes / No
If yes, please specify:
Child 2 Yes / No
If yes, please specify:
Child 3 Yes / No
If yes, please specify:
Child 4 Yes / No
If yes, please specify:

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UNDER CARE (APPROVED SCHOOL OR HOME)
Child 1 Yes / No
If yes, please circle: Reformative Training Centre / Boys’ or Girls’ Home /
Foster Care / Others (please specify):
Child 2 Yes / No
If yes, please circle: Reformative Training Centre / Boys’ or Girls’ Home /
Foster Care / Others (please specify):
Child 3 Yes / No
If yes, please circle: Reformative Training Centre / Boys’ or Girls’ Home /
Foster Care / Others (please specify):
Child 4 Yes / No
If yes, please circle: Reformative Training Centre / Boys’ or Girls’ Home /
Foster Care / Others (please specify):

CURRENT SCHOOL, LEVEL & SCHOOL HOURS
Child 1
Child 2
Child 3
Child 4

WHERE IS THE CHILD CARED FOR BEFORE AND AFTER SCHOOL HOURS?
Child 1
Child 2
Child 3
Child 4

WHO CARES FOR THE CHILD BEFORE AND AFTER SCHOOL HOURS?
Child 1 Me / Spouse / Others (please specify):
Child 2 Me / Spouse / Others (please specify):
Child 3 Me / Spouse / Others (please specify):
Child 4 Me / Spouse / Others (please specify):

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WHO PAYS FOR THE CHILD’S EXPENSES?
Child 1 Me / Spouse / Others (please specify):
Child 2 Me / Spouse / Others (please specify):
Child 3 Me / Spouse / Others (please specify):
Child 4 Me / Spouse / Others (please specify):

(B) YOUR PLANS FOR THE CHILDREN AFTER THE DIVORCE:
WHO WILL THE CHILD LIVE WITH?
Child 1 Me / Spouse / Others (please specify):
Child 2 Me / Spouse / Others (please specify):
Child 3 Me / Spouse / Others (please specify):
Child 4 Me / Spouse / Others (please specify):

WHERE WILL THE CHILD STAY?
Child 1
Child 2
Child 3
Child 4

WHICH SCHOOL WILL THE CHILD STUDY AT?
Child 1 Same as stated in (A) above / Others (please specify):
Child 2 Same as stated in (A) above / Others (please specify):
Child 3 Same as stated in (A) above / Others (please specify):
Child 4 Same as stated in (A) above / Others (please specify):

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