H.M.A. Petition No



I, , W/o , D/o , presently

residing in , do hereby solemnly affirm and state as follows:—

That, I am the petitioner in the accompanying application for dissolution of marriage. I am well conversant with the facts and circumstances of the case and I am competent to swear to this affidavit.
That, I was married to the respondent herein at Delhi, on
, as per Hindu rites and ceremonies.
3. That, I was unmarried before my marriage to the respondent and my
address before marriage and at the time of filing this petition
was My age before marriage and at the time of filing
this petition was and respectively.
That, after marriage, I lived with the respondent in his house till, owing to the cruelty bestowed upon me by the respondent and his mother, I was forced to leave the matrimonial house on
That, no child was born out of the wedlock between the respondent and me.
That, I have not been able to live with the respondent and have been living separately since the aforesaid date. There has been absolutely no cohabitation between the respondent and me ever since.
That, all efforts towards reconciliation with the respondent have proved futile and there is no possibility or scope whatsoever of our ever living together as a married couple.
That, I have not been an accessory to or connived at or condoned the acts of cruelty complained of.
That, there have not been any other proceedings with regard to marriage by or on behalf of any party.

That, this petition is not presented in collusion with the respondent.
That, there is no other legal ground why the relief should not be granted.
That, there has been no unnecessary delay in filing this petition.


Verified at on this the day of
20 , that the contents of the above affidavit are true and correct to the best
of my knowledge, belief and information and nothing material has been concealed therefrom.
Sd./ Deponent.

Solemnly affirmed and signed before me by the deponent, who is personally
known to me, on this the day of , 20

Counsel for the deponent.
Note: Affidavit to be attested by the appropriate authority prescribed under law.

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