Section 4:

4. I further aver that there is a serious risk of harm being caused to me before the present application for a Protection Order may be heard by the Court and that it is therefore urgent and necessary that an interim Protection Order be issued under section 3 (7) of the Protection from Domestic Violence Act. Sworn before me ............................................................ District Magistrate This ........... day of ..................... 20 .. [Form A amended by s. 11 (a) (i) of Act 11 of 2004 w.e.f. 19 June 2004.] FORM AA [Section 3A (1)] PROTECTION FROM DOMESTIC VIOLENCE ACT APPLICATION FOR PROTECTION ORDER In the District Court of ...................................................................................... I, ................................................................................................................... , of .................................................................................................... (Applicant) MAKE OATH/SOLEMN AFFIRMATION AND SAY THAT—