ANTI-GENDER-BASED VIOLENCE ACT: SUBSIDIARY LEGISLATION

the Clerk of court, a police officer, labour inspector, social worker, counsellor, medical practitioner, legal practitioner, nurse, religious leader, traditional leader, teacher, employer or other person or institution with information concerning the commission of an act of gender-based violence may complete the application on behalf of the applicant.

(4) The application shall be signed by the applicant or the applicant's representative and sworn in the presence of a Commissioner for Oaths.

(5) Where the applicant is unable to sign the applicant's name, it shall be sufficient if the applicant affixes the applicant's mark to the Complaint and Application Form in the presence of a Commissioner for Oaths or other duly authorised person who shall thereupon certify the said mark as being that of the applicant made in the Commissioner for Oath's presence.

PART III
SERVICE OF PROCESS AND PARTIES

5. Service of process

Subject to these Rules, the Subordinate Courts (Civil Jurisdiction) Rules apply with respect to service of process or any document issued pursuant to these Rules and for which service is required.

6. Notice of hearing

The court shall issue a notice of the date, time and place for the hearing of the application to the applicant and the respondent within 14 days from the date of filing of the application.

7. Extension or abridgement of time

(1) The court may on application by a party to the proceedings, extend or abridge the time fixed for filing of documents, giving a notice or taking any other step in the proceedings.

(2) An application to extend or abridge the period referred to in sub-rule (1) must—

(a) be in writing;

(b) state the ground for applying for extension or abridgement; and

8. Joinder, misjoinder and non-joinder and substitution of parties

(1) Subject to this rule, Order VIII of the Subordinate Court (Civil Jurisdiction) Rules applies to the joinder, misjoinder and non-joinder of parties.

(2) Where a party to proceedings has been incorrectly cited, the court may on application by the party concerned correct the error.

(3) Where in any proceedings it becomes necessary to substitute a party, that party may apply to the court for an order to substitute that party and the court may make an order or give directions as to the further conduct of the matter.

(4) A joinder, non-joinder, misjoinder, or substitution made pursuant to this rule shall not affect any prior steps taken in the proceedings.

(5) An application under this rule may be made in writing or orally.

PART IV
PROTECTION ORDERS

9. Application for protection order

(1) An application for a protection order shall be in Form II set out in the Schedule.

(2) Where an applicant is for any reason unable to apply for a protection order personally, any other person with information about the gender-based violence may apply for a protection order on behalf of the victim.

(3) Where gender-based violence involves a child or a person with a mental disability, the application shall be made by a next friend.

(4) A person who makes an application under subrule (2) shall obtain the victim's consent in writing, except where the victim—

(a) is a child;

(b) has a mental disability;

(d) is a person whom the court is satisfied is for any other reason unable to provide consent.

(5) The application form for a protection order shall be issued by the Clerk of court who shall sign the application form and endorse the date of issue on it.

10. Application for leave of court to issue protection order without consent of victim

(1) A person may seek the leave of court to apply for a protection order without the consent of a victim.

(2) An application for leave under sub-rule (1) shall be in Form III set out in the Schedule.

11. Interim protection order

(1) The court shall, where an application is made to the court for a protection order, issue an interim protection order if it considers the order to be in the best interest of the applicant.

(2) Where a person makes an application for a protection order ex parte, the application shall be in Form IV set out in the Schedule.

12. Application for modification or revocation of protection order

(1) An applicant or respondent may apply for the modification or revocation of a protection order.

(2) An application under sub-rule (1) shall be in Form V set out in the Schedule.

13. Application for extension of protection order to other persons

A person may apply for extension of a protection order to a person other than the applicant in Form VI set out in the Schedule.

14. Issue of protection order by court's own motion

A court before which criminal proceedings in relation to gender-based violence are pending may, on its own motion, considering the circumstances of the case, issue a protection order in respect of the victim.

15. Conditions of protection order

A protection order may include any of the conditions specified in section 15 of the Act.

16. Occupation order

Where the court, in granting a protection order, considers it expedient to issue an occupation order, the court may order a respondent to vacate the matrimonial home or other home which the respondent shares with the applicant and to continue to make rental, mortgage or other payments that the respondent was paying before the grant of the order and provide reasonable maintenance to the applicant.

17. Duration of occupation order

An occupation order shall not exceed three months in the first instance but may, for good cause shown, be extended, modified or rescinded on application by the applicant or respondent.

18. Application to discharge order

An applicant, respondent or person authorised under rule 4, may apply to discharge an order granted under these Rules in Form VII set out in the Schedule.

PART V
PROCEEDINGS OF THE COURT

19. Non-attendance of parties

(1) Subject to sub-rule (2), Order XXXI of the Subordinate Court (Civil Jurisdiction) Rules applies to non-attendance of parties at a hearing of an application under these Rules.

(2) An application for leave to restore a cause that has been struck out under this rule may be made within 14 days from the date the cause was struck out.

20. Withdrawal of application

(1) An applicant may withdraw an application at any stage of the proceedings but before judgment.

(2) An applicant who intends to withdraw the application shall file a notice of withdrawal in writing to the court.

(3) The court shall serve a copy of the notice of withdrawal referred to in sub-rule (2) on the respondent.

21. Consolidation of applications

(1) Where more than one application is filed in court with respect to the same facts, an application to the court for an order that the applications be consolidated may be made.

(2) The court may consolidate the complaints under sub-rule (1) where the court considers it just to do so.

22. Special measures by court

Where during the hearing of an application for a protection order or any application under the Act, the court is of the opinion that the presence of the respondent is likely to have a serious adverse effect on a victim or a witness, the court may take the following special measures—

(a) mount a movable screen in the chambers where the matter is being heard so as to separate the respondent from the victim or a witness;

(b) where practicable, provide video link facilities; or

23. Evidence

(1) Evidence before the court may be given orally or by affidavit.

(2) Without restriction on the general powers of the court to provide special measures under rule 22, the court may give directions relating to—

(a) issues on which it requires evidence or submissions; and

(b) the nature of the evidence or submissions it requires.

24. Expert witness

(1) A party may call an expert to provide expert evidence.

(2) The expert shall, unless the court directs otherwise, at least seven days before the hearing, provide in writing or by witness statement a written report to the court which the expert intends to rely upon as the expert's evidence.

(3) The Clerk of the court shall serve a witness statement on the other party or parties.

(4) The court may request a report on a party and the report shall be prepared and submitted by a social worker, probation officer or other person appointed by the court.

25. Amendment of documents

(1) A party to proceedings may apply orally or in writing for an order to amend any document filed into court.

(2) The court shall, where it allows a party to amend the document, allow any other party affected by the amendment to file additional documents, consequential to the amendment, within a time period stipulated by the court.

26. Interlocutory applications

(1) Except where these rules otherwise provide, an application for directions of an interlocutory nature in connection with any proceedings shall be made by summons and accompanied by an affidavit in support.

(2) An application under this rule may be made ex parte or inter partes.

(3) An application granted ex parte shall be heard inter partes within seven days from the date of the grant of the application ex parte.

(4) Unless the court gives special leave to the contrary, there shall be at least two clear days between the service of summons and the day named in the notice for hearing the summons.

(5) A party who objects to an interlocutory application may within two days after the service, send written notice of the objection to the court.

(6) Where an application under this rule is made ex parte, the court may—

(a) grant the application pending an inter partes hearing;

(b) not grant the application but order that the application be heard inter partes; or

(7) A party affected by an ex parte order may, within seven days after service of the order, or within such further time as the court may allow, apply by inter partes summons to the court to vary or discharge the order.

27. Consent order

(1) Where the parties agree upon the terms of an order to be made by the court, the particulars of the terms agreed upon shall be in writing and signed by the parties, their legal representatives or their agents.

(2) The parties shall file the terms agreed upon in the consent order to the court and the court may make an order in accordance with the terms in the absence of the parties.

PART VI
JUDGMENT, REVIEW AND APPEAL

28. Judgment of court

(1) The decision of the court in any matter before the court shall be given in writing and availed to the parties within seven days from the date of the decision.

(2) The court may at any time correct any clerical mistake or other accidental slip or omission in a decision or record.

(3) The judgment of the court shall be made by the court within 28 days of the conclusion of the hearing of the matter or application.

29. Power to review

(1) The court may, upon such grounds as it considers sufficient, either on application by a party or of its own motion, review any judgment or decision given by the court except where an appeal shall have been entered by any party, and such appeal is not withdrawn.

(2) A court may on review open and rehear the cause or matter wholly or in part and take fresh evidence and reverse, vary or confirm its previous judgment or decision.

(3) The court shall not rehear any evidence or take any fresh evidence unless the court has reason to believe that there has been a miscarriage of justice.

30. Application for review to be made within seven days

(1) Any application by a party for review of a judgment or decision shall be made not later than seven days after such judgment or decision.

(2) After the expiration of 14 days, an application for review shall not be admitted except by special leave of the court and on such terms as to the court seem just.

31. Court to notify parties

(1) The court shall not proceed of its own motion to review any judgment or decision under this rule until it has served notice of its intention to do so on all parties and until all such parties have had an opportunity to appear before it and be heard.

(2) A notice to review shall be served on all the parties concerned within 14 days after the judgment or decision which the court has decided to review.

32. Review not to operate as stay of execution

The application of any party or the decision of the Court to review of its own motion shall not of itself operate as a stay of execution, unless the court so orders, and such order may be made upon such terms as the court may consider necessary.

33. Appeals

(1) A person aggrieved by the decision of the court may appeal to the High Court within 30 days from the date on which the decision was made.

(2) A notice of appeal shall be in Form VIII set out in the Schedule.

(3) An application to appeal out of time shall be made with the leave of court in accordance with the Subordinate Courts Act.

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SCHEDULE

Form I

[Rule 4(1)]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

(General Title)

SWORN APPLICATION FORM

1. PARTICULARS OF APPLICANT (VICTIM)
Surname:
Other names:
Sex:
Age:
Identity number:
Tribe/ethnicity:
Marital status:
Nationality:
Occupation:
Home or temporary address:
Home/contact telephone/cell phone number:
Work address:
Work telephone number:
Next of kin:
Contact number for next of kin:

2. PARTICULARS OF PERSON MAKING APPLICATION ON BEHALF OF THE APPLICANT (If applicable)
Surname:
Other names:
Sex:
Age:
National Identity number (NRC or Passport):
Tribe/ethnicity:
Marital status:
Nationality:
Occupation:
Home or temporary address:
Home/contact telephone/cell phone number:
Work address:
Work telephone number: Capacity in which application made:

3. PARTICULARS OF PERSON ALLEGED HAVE COMMITTED ACT OF GENDER-BASED VIOLENCE [(Hereinafter called the Respondent) in so far as such particulars are available]
Surname:
Other names:
Sex:
Age:
Identity number:
Tribe/ethnicity:
Marital status:
Nationality:
Occupation:
Home or temporary address:
Home/contact telephone/cell phone number:
Work address:
Work telephone number:
Relationship to victim:
Work telephone number:
Next of kin:
Contact number for next of kin:

4. INFORMATION REGARDING ACTS OF GENDER-BASED VIOLENCE

Give full details of incidents of gender-based violence and if the matter has been reported to the Police or any other institution (if so, indicate name of institution). Indicate whether firearm or other dangerous weapons were used, what injuries have been sustained and whether medical attention has been obtained.

............................................................................................................................................

5. OTHER PERSONS AFFECTED BY GENDER-BASED VIOLENCE

5.1. Particulars of children and adults sharing the residence or likely to be affected:

Name	Age	Sex	Relationship to victim

5.2. How are these persons affected?

............................................................................................................................................

5.3. Do any of these persons suffer from disabilities? If so, give details:

............................................................................................................................................

6. RELIEF SOUGHT (State what you want the court to do for you)

............................................................................................................................................

6.1 PROTECTION ORDER

(A) TERMS OF PROTECTION ORDER

It is requested that the Respondent must be ordered (tick the appropriate box and complete where necessary.

(a)	Not to physically assault or use physical force against the applicant or any relation, friend, a legal representative or any other person associated with the Applicant
(b)	Not to forcibly confine or detain the applicant or any relation or friend of the Applicant
(c)	Not to deprive the Applicant access to adequate food, water, clothing, shelter or rest
(d)	Not to force the Applicant engage in any sexual contact whether married or not
(e)	Not to engage in any sexual conduct that abuses, humiliates, or degrades the complaint or otherwise violates the applicants integrity, whether married or not
(f)	Not to deprive or threaten to deprive the applicant or—
i. Economic or financial resources to which the applicant is entitled by law including house mortgage repayments or rent payments or any other payment and;
ii. Household chattels required by the applicant as a result of necessity;
(g)	Not to contact the Applicant at work or other places frequented by the applicant
(h)	Not to contact the Applicant by telephone or any other form of communication
(i)	Not to dispose off, or threaten to dispose off movable or immovable property in which the applicant has an interest
(j)	Not to destroy or damage or threaten to destroy or damage property in which the Applicant has an interest
(k)	Not to hide or hinder the use of property in which the applicant has an interest
(l)	Not to threaten abuse to the Applicant
(m)	Not to harass the Applicant
(n)	Not to enter the Applicant's residence without concert where the parties do not share the same residence
(o)	Not to emotionally, verbally or psychologically abuse the Applicant
(p)	Not to come within 100 meters of the Applicant
(q)	Not to enlist the assistance of another person to commit an act of gender-based violence; or
(r)	Not to do any act which the court considers not in the best interest of the application
(s)	Any other

(B) ADDITIONAL CONDITIONS
It is requested that the court must also order
(a)	The Respondent must be of good behaviour
(b)	The Respondent should seek counselling or other rehabilitated service
(c)	Forbid the Respondent to be, except under conditions specified in the order, at or near places frequented by the applicant or by any child or other person in the care of the applicant
(d)	The Respondent should surrender any fire-arm or other specified weapon in the possession of the Respondent to the Police, which may also include, if appropriate—
i. A provision suspending any fire-arm license in the name of the Respondent for the duration of the protection order
ii. A provision authorising the police to search for and seize any weapon at any specified place where there is probable cause to believe that the weapon may be located
(e)	A provision restraining the applicant or respondent or both, from taking, converting, damaging, or otherwise dealing in property in which the other party may have an interest or a reasonable expectation of use
(f)	A provision temporarily directing the Respondent to make periodic payment in respect of the maintenance of the applicant and of any child of the applicant, if the respondent is legally liable to support the Applicant or the child, as any emergency measure where no such maintenance order is already in force, together with other such emergency monetary relief as is appropriate.
(g)	A provision granting temporary sole custody—
i. of a child of the applicant to any appropriate custodian other than the respondent; or
ii. of any child of the Applicant or any child in the care of the applicant or to another appropriate custodian if the court is satisfied that that is necessary for the safety of the child in question
(h)	A provision temporarily if the court is satisfied that that it reasonably necessary for the safety of the child in question—
i. Forbidding contact between the Respondent and any child of the Applicant;
ii. Specifying that contact between the Respondent and the child of the Applicant must take place only in the presence and under the supervision of a social worker or a family member designated by the court for that purpose; or
iii. Allowing such contact only under specified conditions designated to ensure that safety of the Applicant, Any child who may be affected, and any other family members
(i)	A provision ordering the relocation of the applicant to a shelter to be provided by the Minister responsible for social welfare or other place of safety and compelling the Respondent to pay rent for the period the Applicant resides in other place of safety if the court is satisfied that that is reasonably necessary for such the safety of the Applicant or any child or person in the care of the Applicant
(j)	Any other provisions that the court considers necessary to ensure the safety of the Applicant or any child or other person who is affected

(C) WHERE PROTECTION ORDER RELATES TO PROPERTY IN WHICH APPLICANT HAS INTEREST
Property Description	Nature of Interest	Address where property is kept

6.2 OCCUPATION ORDER
TERMS OF OCCUPATION ORDER
It is requested that the Respondent must be ordered (tick appropriate box)
(a)	To vacate the matrimonial home or other home which the Respondent shares with the Applicant and—
i. Continue to pay rent;
ii. Mortgage payment; and
iii. Maintenance to the Applicant

7. I depose to the facts stated above verily believing them to be true and correct to the best of my knowledge and information.

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Before me: ........................................................
Commissioner for Oaths

Form II

[Rule 9(1)]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

(General Title)

SUMMONS FOR PROTECTION ORDER

LET ALL PARTIES concerned attend before the Honourable Mr./Mrs./Ms. ................................. on the .................... day of ................. 20.......... at ............................

hours on the hearing of an application to issue a protection order against the Respondent(s) for reasons specified in the accompanying Complaint Form filed herewith.

Dated at ......................... on the ............ day of ..................... 20.......

Taken out by .................................................................................... (Applicant)
(Indicate address for service)

To : ................................................................................................. (Respondent)
(Indicate address)

LET THE ABOVE NAMED Respondent(s) and/or Associate Respondent(s) within 14 days after service of this Application upon them, inclusive of the day of such service, cause a response to be entered for them to this Application.

.............................................
Magistrate

ENDORSEMENT OF SERVICE OR NON-SERVICE (ON DUPLICATE)

(place)

.............................................................................................................................................

Date ..............................

Signature of person required to serve Application

(ON SUBSEQUENT SERVICE)

(See Reverse for Other Endorsements)

[On reverse]

ENDORSEMENTS

If Respondent is in different District, outside area of jurisdiction of the authorised officer within whose area of jurisdiction the issuing court is situated, endorsement by authorised officer.

Date Stamp Endorsed: .........................................

............................................
Signature

Endorsement by officer within whose area of jurisdiction Application is to be served.

Date Stamp Endorsed: ..........................................

....................................
Magistrate

Form III

[Rule 10(2)]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

(General Title)

SUMMONS FOR LEAVE TO ISSUE PROTECTION ORDER
WITHOUT CONSENT OF THE VICTIM

LET THE PARTY concerned attend before the Honourable Mr./Mrs./Ms. .................................... on the ............. day of ........................... 20......... at ............................... hours on the hearing of an application for leave to issue a protection order against the Respondent(s) without consent of the victim for reasons specified in the accompanying affidavit filed herewith.

Dated at ........................ on the ............... day of ...................... 20........

Taken out by ................................................................................. (Applicant)
(Indicate address for service)

To : ............................................................................................. (Respondent)
(Indicate address)

LET THE ABOVE NAMED Respondent(s)/and or Associate Respondent(s) within 14 days after service of this Application upon them, inclusive of the day of such service, cause a response to be entered for them to this Application.

.....................................
Magistrate

ENDORSEMENT OF SERVICE OR NON-SERVICE (ON DUPLICATE)

(place)

.............................................................................................................................................

Date ..........................

Signature of person required to serve Application

(ON SUBSEQUENT SERVICE)

(See Reverse for Other Endorsements)

[On reverse]

ENDORSEMENTS

If Respondent is in different District, outside area of jurisdiction of the authorised officer within whose area of jurisdiction the issuing court is situated, endorsement by authorised officer.

Date Stamp Endorsed: .....................................................

.........................................
Signature

Endorsement by officer within whose area of jurisdiction Application is to be served.

Date Stamp Endorsed: .......................................................

................................................
Magistrate

Dated at ........................... on the ........... day of ...................... (year)

Form IV

[Rule 11(2)]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

(General Title)

EX PARTE SUMMONS FOR INTERIM PROTECTION ORDER

LET THE PARTY concerned attend before the Honourable Mr./Mrs./Ms. .................................. on the .................... day of .......................... 20.... at ....................... hours on the hearing of an application for an interim protection order against the Respondent for reasons specified in the accompanying affidavit filed herewith.

Dated at ............................ on the ............ day of ....................... 20........

Taken out by ................................................................................ (Applicant)
(Indicate address for service)

To : ........................................................................................... (Respondent)
(Indicate address)

................................................
Magistrate

ENDORSEMENT OF SERVICE OR NON-SERVICE (ON DUPLICATE)

at ..................................................
(place)

.............................................................................................................................................

Date .................................

.............................................................................
Signature of person required to serve Application

(ON SUBSEQUENT SERVICE)

(See Reverse for Other Endorsements)

[On reverse]

ENDORSEMENTS

If Respondent is in different District, outside area of jurisdiction of the authorised officer within whose area of jurisdiction the issuing court is situated, endorsement by authorised officer.

Date Stamp Endorsed: ...............................................

............................................
Signature

Endorsement by officer within whose area of jurisdiction Application is to be served.

Date Stamp Endorsed: .................................................

...................................................
Magistrate

Form V

[Rule 12(2)]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

(General Title)

SUMMONS FOR REVOCATION OR MODIFICATION OF PROTECTION ORDER

LET ALL PARTIES concerned attend before the Honourable Mr./Mrs./Ms. ................................. on the ............... day of ................... 20...... at ................................ hours on the hearing of an application by the ............................................... (state whether Applicant or Respondent) for ............................... (state whether cancellation or modification) of protection order.

Dated at .......................... on the ............. day of ......................... 20..........

Taken out by ............................................................................. (Applicant)
(Indicate address for service)

To: ........................................................................................ (Respondent)
(Indicate address)

ENDORSEMENT OF SERVICE OR NON-SERVICE (ON DUPLICATE)

(place)

.............................................................................................................................................

Date .............................

......................................................................................
Signature of person required to serve Application

(ON SUBSEQUENT SERVICE)

(See Reverse for Other Endorsements)

[On reverse]

ENDORSEMENTS

If Respondent is in different District, outside area of jurisdiction of the authorised officer within whose area of jurisdiction the issuing court is situated, endorsement by authorised officer.

Date Stamp Endorsed: ....................................................

............................................
Signature

Endorsement by officer within whose area of jurisdiction Application is to be served.

Date Stamp Endorsed: ......................................................

............................................
Magistrate

Form VI

[Rule 13]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

(General Title)

SUMMONS FOR EXTENSION OF PROTECTION ORDER TO OTHER PERSON

LET ALL PARTIES concerned attend before the Honourable Mr./Mrs./Ms. ...................................... on .............. day of ..................... 20....... at ....................... hours on the hearing of an application by the ................................... (state whether Applicant or Respondent) for extension of protection order to .......................................... for the reasons specified in the accompanying affidavit.

Dated at ............................. on the ............... day of ...................... 20............

Taken out by .................................................................................................... (Applicant)
(Indicate address for service)

To: .................................................................................................................. (Respondent)
(Indicate address)

ENDORSEMENT OF SERVICE OR NON-SERVICE (ON DUPLICATE)

(place)

............................................................................................................................................

.............................................................................................................................................

............................................................................................................................................

Date ..............................

...................................................................................
Signature of person required to serve Application

(ON SUBSEQUENT SERVICE)

(See Reverse for Other Endorsements)

[On reverse]

ENDORSEMENTS

If Respondent is in different District, outside area of jurisdiction of the authorised officer within whose area of jurisdiction the issuing court is situated, endorsement by authorised officer.

Date Stamp Endorsed: ........................................................

......................................
Signature

Endorsement by officer within whose area of jurisdiction Application is to be served.

Date Stamp Endorsed: ........................................................

.............................................
Magistrate

Form VII

[Rule 18]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

SUMMONS TO DISCHARGE PROTECTION ORDER

LET ALL PARTIES concerned attend before the Honourable Mr./Mrs./Ms. .............................. on the .............. day of ...................... 20........ at ................. hours on the hearing of an application to discharge protection order by the ............................... (specify whether applicant, Respondent or person specified in the Protection order) for reasons specified in the accompanying affidavit.

Dated at .............................. on the .............. day of .............................. 20........

Taken out by .............................................................................................. (Applicant)
(Indicate address for service)

To: .......................................................................................... (Respondent)
(Indicate address)

ENDORSEMENT OF SERVICE OR NON-SERVICE (ON DUPLICATE)

(place)

............................................................................................................................................

Date ............................

...................................................................................
Signature of person required to serve Application

(ON SUBSEQUENT SERVICE)

(See Reverse for Other Endorsements)

[On reverse]

ENDORSEMENTS

If Respondent is in different District, outside area of jurisdiction of the authorised officer within whose area of jurisdiction the issuing court is situated, endorsement by authorised officer.

Date Stamp Endorsed: .................................................

......................................
Signature

Endorsement by officer within whose area of jurisdiction Application is to be served.

Date Stamp Endorsed: ................................................

.........................................
Magistrate

Dated at ........................... on the ............ day of .................... (year)

Form VIII

[Rule 33(2)]

REPUBLIC OF ZAMBIA

Anti-Gender-Based Violence Act, 2011

Anti-Gender-Based Violence (Court) Rules, 2016

(General Title)

NOTICE OF APPEAL

Between

A.B., Applicant

and

C.D., Respondent

To the Registrar of the High Court

TAKE NOTICE that the named Appellant hereby appeals to the High Court on the following grounds:

GROUNDS OF APPEAL (state grounds of appeal below)

..............................................................................................................................................

Dated at .......................... on the ............. day of ........................... 20......

Taken out by ................................................................................ (Applicant)
(Indicate address for service)

To: ............................................................................................ (Respondent)
(Indicate address)

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