Application for a Female Genital Mutilation (FGM) Protection Order

Published date21 March 2018
Subject MatterFamily law forms
page 1
FGM001
Application for a
Female Genital Mutilation (FGM)
Protection Order
Part 1 of Schedule 2 to the
Female Genital Mutilation Act 2003
To be completed by the court
Date issued
Case no.
Name of court
Fee charged/
remission ID
1. About you (the applicant)
Are you (tick only one box)
the person who is to be protected by this order (see page 7)
a relevant third party (see page 7)
Full name
If you do not wish your address to be made known to the respondent leave this space blank
and if you have not already done so, complete Condential contact details form Form C8.
See notes on page 7
Address Phone no. (optional)
Date of birth (if under 18 years)
Postcode
For relevant third parties
Name of organisation (if applicable)
Position held in the organisation
FGM001 Application for a Female Genital Mutilation (FGM) Protection Order (04.17) © Crown copyright 2017
Please read the accompanying notes as you complete this form
Note: If you are an individual applicant, you MUST NOT serve the documents yourself on the person
you are seeking the order against.
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