3. Appendix A to the Rules of Court is amended by deleting Forms 242, 243, 244, 245, 246, 247 and 248 and substituting the following Forms: | APPLICATION FOR ORDERS UNDER SECTION 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | | In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement(s)). |
| | EX PARTE ORIGINATING SUMMONS |
| Let all parties concerned attend before the District Judge on (date/time), on the hearing of an application by (name of applicant) for an order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) providing as follows in respect of the relevant statement(s): |
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|
[specify particulars of relevant statement(s)] |
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1. | *+Pursuant to section 15A: The Respondent(s) [and any other persons*] must stop publishing the relevant statement and must not publish any substantially similar statement: |
|
| [specify the Respondent(s) to which the stop publication order is to apply; and the time by which each person must comply with such order] |
|
| 2. | *+Pursuant to section 15B: The Respondent must publish the following correction notice(s): |
|
| [specify the Respondent to which the correction order is to apply; the person(s) or description of persons* to whom the correction must be published; the content, form and manner of the correction notice; and the time by which each correction notice must be published] |
|
| 3. | *+Pursuant to section 15C: The Respondent must disable access by end‑users of its internet intermediary service provided in Singapore to the following material: |
|
| [specify the Respondent to which the disabling order is to apply; the material to which access is to be disabled; and the time by which the Respondent is required to comply with such order] |
|
| 4. | *+Pursuant to section 15D: The Respondent must publish the following targeted correction notice to all end‑users in Singapore of its internet intermediary service who [access/it knows had accessed*] specified material [or identical copies of specified material*]: |
|
| [specify the Respondent to which the targeted correction order is to apply; the material to which the end‑users have access that consists of or contains the relevant statement or identical copies of it; the content, form, and manner of the targeted correction notice; and the time by which the Respondent must comply with such order] |
|
| 5. | *+Pursuant to section 15E: The Respondent must publish in Singapore the following general correction notice: |
|
| [specify the Respondent to which the general correction order is to apply; the content, form and manner of the general correction notice; and the time by which the respondent is required to comply with such order] |
|
| 6. | *+#Pursuant to section 16A: The Respondent(s) [and any other persons*] must stop publishing the relevant statement and must not publish any substantially similar statement: |
|
| [specify the Respondent(s) to which the interim stop publication order is to apply; and the time by which each person must comply with such order] |
|
| 7. | *+#Pursuant to section 16B: The Respondent must publish the following interim notice: |
|
| [specify the Respondent to which the interim notification order is to apply; the person(s) or description of persons* to whom the correction must be published; the content, form and manner of the interim notification order; and the time by which each interim notice must be published] |
|
| 8. | *+#Pursuant to section 16AA: The Respondent must disable access by end‑users of its internet intermediary service provided in Singapore to the following material: |
|
| [specify the Respondent to which the interim disabling order is to apply; the material to which access is to be disabled; and the time by which the Respondent is required to comply with such order] |
|
| 9. | *+#Pursuant to section 16BA: The Respondent must publish the following targeted interim notice to all end‑users in Singapore of its internet intermediary service who [access/it knows had accessed*] specified material [or identical copies of specified material*]: |
|
| [specify the Respondent to which the targeted interim notification order is to apply; the material to which the end‑users have access that consists of or contains the relevant statement or identical copies of it; the content, form, and manner of the targeted interim notification order; and the time by which the Respondent must comply with such order] |
|
| 10. | The Court to give such other direction(s) as the Court thinks fit. |
|
| | | This summons is taken out by (name of applicant or solicitor for applicant) whose address is . |
| * Delete whichever is inapplicable. |
| + Repeat this Part if there is more than one person to whom the order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) is to apply. |
| # Delete this paragraph unless the application is also for an interim order under section 16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A). |
| | |
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| APPLICATION FOR INTERIM ORDER UNDER SECTION 16A/16B/16AA/16BA* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | | In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement(s)). |
| | | Let all parties concerned attend before the District Judge on (date/time), on the hearing of an application by (name of applicant) for an order under section 16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) providing as follows in respect of the relevant statement(s): |
|
|
[specify particulars of statement(s)] |
|
|
1. | *+Pursuant to section 16A: The Respondent(s) [and any other persons*] must stop publishing the relevant statement and must not publish any substantially similar statement: |
|
| [specify the Respondent(s) to which the interim stop publication order is to apply; and the time by which each person must comply with such order] |
|
| 2. | *+Pursuant to section 16B: The Respondent must publish the following interim notice: |
|
| [specify the Respondent to which the interim notification order is to apply; the person(s) or description of persons* to whom the correction must be published; the content, form and manner of the interim notification order; and the time by which each interim notice must be published] |
|
| 3. | *+Pursuant to section 16AA: The Respondent must disable access by end‑users of its internet intermediary service provided in Singapore to the following material: |
|
| [specify the Respondent to which the interim disabling order is to apply; the material to which access is to be disabled; and the time by which the Respondent is required to comply with such order] |
|
| 4. | *+Pursuant to section 16BA: The Respondent must publish the following targeted interim notice to all end‑users in Singapore of its internet intermediary service who [access/it knows had accessed*] specified material [or identical copies of specified material*]: |
|
| [specify the Respondent to which the targeted interim notification order is to apply; the material to which the end‑users have access that consists of or contains the relevant statement or identical copies of it; the content, form, and manner of the targeted interim notification order; and the time by which the Respondent must comply with such order] |
|
| 5. | The Court to give such other direction(s) as the Court thinks fit. |
|
| | | This summons is taken out by (name of applicant or solicitor for applicant) whose address is . |
| * Delete whichever is inapplicable. |
| + Repeat this Part if there is more than one person to whom the order under section 16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) is to apply. |
| | |
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| AFFIDAVIT IN SUPPORT OF APPLICATION UNDER SECTION 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | O.S./Summons No. ) of 20 . ) |
| In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement(s)). |
| | | I, (name of applicant), the applicant, do make oath (or affirm) and say that the statements contained in the document exhibited and marked “A” are true. |
| Sworn (or affirmed) as in Form 78. |
| INFORMATION IN SUPPORT OF APPLICATION |
| Part A — Applicant’s Particulars |
| 1. | My particulars are as follows: |
|
(b) | NRIC No. (for Singapore citizen) or No., type and country of issue of foreign identification document (for foreign citizen): |
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| 2. | I am deposing this affidavit in my own capacity/in my capacity as*: |
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| | 3. | I am applying for the following interim order(s): |
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(a) | *In an application for a stop publication order under section 15A, an interim stop publication order under section 16A of the Protection from Harassment Act (Cap. 256A); |
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(b) | *In an application for a stop publication order under section 15A, an interim notification order under section 16B of the Protection from Harassment Act (Cap. 256A); |
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(c) | *In an application for a correction order under section 15B, an interim notification order under section 16B of the Protection from Harassment Act (Cap. 256A); |
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(d) | *In an application for a disabling order under section 15C, an interim disabling order under section 16AA of the Protection from Harassment Act (Cap. 256A); |
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(e) | *In an application for a targeted correction order under section 15D, a targeted interim notification order under section 16BA of the Protection from Harassment Act (Cap. 256A). |
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| Part C — Background Information+^ |
| 4. | I am applying for an order/have applied for an order* under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A) against the following person. |
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| 5. | To the best of my knowledge, information and belief, the person’s particulars are as follows: |
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(a) | Name or, if the name is unknown, Unique Identifier (e.g. Internet location address, website, username or account or email address): |
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(b) | NRIC No. (for Singapore citizen) or No., type and country of issue of foreign identification document (for foreign citizen): |
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(d) | Other electronic means of contacting the person: |
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| 6. | To the best of my knowledge, information and belief, the person has the following presence on the Internet: |
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(a) | Internet website address(es): |
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(b) | Blog (or weblog) address(es): |
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(c) | Account(s) on social media or social networking website(s): |
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(d) | Page(s) on social media or social networking website(s): |
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| 7. | I believe that the person is/is not* in Singapore. The grounds for my belief are as follows: |
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| 8. | The particulars of the relevant statement are as follows: |
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| 9. | The relevant statement is about the following subject: |
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| 10. | The originator of the relevant statement (the author) is the following person: |
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| 11. | I will be able /unable* to serve the originator of the relevant statement (the author) because: |
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| 12. | The relevant statement is a statement of fact about the subject which is false in the following particular(s) about the subject: |
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| 13. | The particulars of each publication by the person of the relevant statement (including the Internet location address of each publication on the Internet, if any) are as follows: |
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| 14. | I attach the following evidence in support of my statements at paragraphs 6 to 11: |
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(c) | Other evidence (including electronic documents or records): |
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| 15. | Where the author of the relevant statement is not the person, I have/have not* approached the author to remove or correct the relevant statement.* |
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(a) | The author’s response to my approach was as follows:* |
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(b) | I did not approach the author for the following reasons:* |
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| 16. | I have/have not* approached the person to remove or correct the relevant statement. |
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(a) | The person’s response to my approach was as follows:* |
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(b) | I did not approach the person for the following reasons:* |
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| 17. | I believe that the publication of the relevant statement(s) has/have caused or is likely to cause me harm.# |
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| 18. | I attach the following evidence in support of my statement at paragraph 17#: |
|
| | *+Pursuant to section 15A: The Respondent(s) [and any other persons*] must stop publishing the relevant statement and must not publish any substantially similar statement: |
|
| [specify the Respondent(s) to which the stop publication order is to apply; and the time by which each person must comply with such order] |
|
| *+Pursuant to section 15B: The Respondent must publish the following correction notice(s): |
|
| [specify the Respondent to which the correction order is to apply; the person(s) or description of persons* to whom the correction must be published; the content, form and manner of the correction notice; and the time by which each correction notice must be published] |
|
| | *+Pursuant to section 15C: The Respondent must disable access by end‑users of its internet intermediary service provided in Singapore to the following material: |
|
| [specify the Respondent to which the disabling order is to apply; the material to which access is to be disabled; and the time by which the Respondent is required to comply with such order] |
|
| *+Pursuant to section 15D: The Respondent must publish the following targeted correction notice to all end‑users in Singapore of its internet intermediary service who [access/it knows had accessed*] specified material [or identical copies of specified material*]: |
|
| [specify the Respondent to which the targeted correction order is to apply; the material to which the end‑users have access that consists of or contains the relevant statement or identical copies of it; the content, form, and manner of the targeted correction notice; and the time by which the Respondent must comply with such order] |
|
| *+Pursuant to section 15E: The Respondent must publish in Singapore the following general correction notice: |
|
| [specify the Respondent to which the general correction order is to apply; the content, form and manner of the general correction notice; and the time by which the respondent is required to comply with such order] |
|
| 20. | I ask the Court that#: |
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| *+#Pursuant to section 16A: The Respondent(s) [and any other persons*] must stop publishing the relevant statement and must not publish any substantially similar statement: |
|
| [specify the Respondent(s) to which the interim stop publication order is to apply; and the time by which each person must comply with such order] |
|
| *+#Pursuant to section 16B: The Respondent must publish the following interim notice: |
|
| [specify the Respondent to which the interim notification order is to apply; the person(s) or description of persons* to whom the correction must be published; the content, form and manner of the interim notification order; and the time by which each interim notification must be published] |
|
| *+#Pursuant to section 16AA: The Respondent must disable access by end‑users of its internet intermediary service provided in Singapore to the following material: |
|
| [specify the Respondent to which the interim disabling order is to apply; the material to which access is to be disabled; and the time by which the Respondent is required to comply with such order] |
|
| | *+#Pursuant to section 16BA: The Respondent must publish the following targeted interim notice to all end‑users in Singapore of its internet intermediary service who [access/it knows had accessed*] specified material [or identical copies of specified material*]: |
|
| [specify the Respondent to which the targeted interim notification order is to apply; the material to which the end‑users have access that consists of or contains the relevant statement or identical copies of it; the content, form, and manner of the targeted interim notification order; and the time by which the Respondent must comply with such order] |
|
| Part D — Confirmation of Contents |
| 21. | I confirm that to the best of my knowledge, information and belief, the information contained in this document is true. |
|
| | | | * Delete whichever is inapplicable. |
+ Repeat this Part if there is more than one person to whom the order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* or of the Protection from Harassment Act (Cap. 256A) is to apply. |
# Delete this paragraph unless the application is for an interim order under section 16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A). |
^ If you have already applied for an order under section 15A/15B/15C/15D/15E of the Protection from Harassment Act (Cap. 256A), you need not complete paragraphs 4‑18. |
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| AFFIDAVIT IN REPLY TO APPLICATION UNDER SECTION 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | | In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap 256A). |
| And in the matter of (name of subject of relevant statement(s)). |
| | | I, (name), do make oath (or affirm) and say that the statements contained in the document exhibited and marked “A” are true. |
| Sworn (or affirmed) as in Form 78. |
| | | Part A — Particulars of Person Responding |
| 1. | My particulars are as follows: |
|
| | (b) | NRIC No. (for Singapore citizen) or No., type and country of issue of foreign identification document (for foreign citizen): |
|
| | 2. | I am deposing this affidavit in my own capacity/in my capacity as*: |
|
| Part B — Background Information+ |
| 3. | I am opposing the application for an order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) against me. |
|
| 4. | An order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) should not be made against me for the following reasons: |
|
| 5. | The relevant statement is true in the following particular(s) about the subject: |
|
| 6. | I admit that the relevant statement is false in the following particular(s) about the subject: |
|
| 7. | The publication of the relevant statement has not caused the Applicant harm or is unlikely to cause the Applicant harm because+: |
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| 8. | The Applicant has/has not* approached me to remove or correct the relevant statement. |
|
| 9. | The Applicant made the following request to me as regards the relevant statement:+ |
|
| 10. | My response to the Applicant was as follows:+ |
|
| 11. | The reason(s) for my response to the Applicant are as follows:+ |
|
| 12. | I attach the following evidence in support of my statements above: |
|
| | | (c) | Other evidence (including electronic documents or records): |
|
| Part C — Confirmation of Contents |
| 13. | I confirm that to the best of my knowledge, information and belief, the information contained in this document is true. |
|
| [Signature of Person Responding] |
| Name of Person Responding: |
| | * Delete whichever is inapplicable. |
| + Delete if not applicable. |
| | |
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| ORDER UNDER SECTION 15A/15B/15C/15D/15E* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | |
|
In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement(s)). |
| | Before the Honourable District Judge |
| | | Upon the application of (name of applicant), and upon reading the affidavit of (name of applicant) [and the affidavit of (name of person responding)]+, and upon hearing , and upon the applicant undertaking to abide by any order the Court may make as to damages in case the Court should later be of the opinion that any person has sustained by reason of this order which the applicant ought to pay: |
| | 1. | The following statement(s) of fact about (name of subject of relevant statement(s)) is/are* declared to be false: |
|
| [specify particulars of statement(s)] |
|
| 2. | *+Pursuant to section 15A: The Respondent(s) [and any other persons*] must stop publishing the relevant statement and must not publish any substantially similar statement: |
|
| [specify the Respondent(s) to which the stop publication order is to apply; and the time by which each person must comply with such order] |
|
| | *+Pursuant to section 15B: The Respondent must publish the following correction notice(s): |
|
| [specify the Respondent to which the correction order is to apply; the person(s) or description of persons* to whom the correction must be published; the content, form and manner of the correction notice; and the time by which each correction notice must be published] |
|
| | *+Pursuant to section 15C: The Respondent must disable access by end‑users of its internet intermediary service provided in Singapore to the following material: |
|
| [specify the Respondent to which the disabling order is to apply; the material to which access is to be disabled; and the time by which the Respondent is required to comply with such order] |
|
| | *+Pursuant to section 15D: The Respondent must publish the following targeted correction notice to all end‑users in Singapore of its internet intermediary service who [access/it knows had accessed*] specified material [or identical copies of specified material*]: |
|
| [specify the Respondent to which the targeted correction order is to apply; the material to which the end‑users have access that consists of or contains the relevant statement or identical copies of it; the content, form, and manner of the targeted correction notice; and the time by which the Respondent must comply with such order] |
|
| | *+Pursuant to section 15E: The Respondent must publish in Singapore the following general correction notice: |
|
| [specify the Respondent to which the general correction order is to apply; the content, form and manner of the general correction notice; and the time by which the respondent is required to comply with such order] |
|
| 3. | The Court to give such other direction(s) as the Court thinks fit. |
|
(a) | This order does not apply to the following person(s): |
|
(b) | [Specify any other exception(s) to this order]. |
|
| 4. | This order is subject to the following condition(s): |
|
| [Specify any other condition(s) to which this order is subject]. |
|
| 5. | [Specify any other direction(s) given by the Court].+ |
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| | | | | 1. | You must read the terms of this order very carefully. |
|
| 2. | If you disobey this order, you/you (a director or an officer of [specify name of body corporate])* will be liable to process of execution for the purpose of compelling you/[specify name of body corporate]* to obey this order. In addition, you may be guilty of contempt of court. |
|
| 3. | You have a right to ask the Court to vary, suspend or cancel this order. |
|
| 4. | The Court may, on the application of the subject, the author of the relevant statement or any individual or entity to whom this order applies, vary, suspend or cancel this order. |
|
| 5. | Except as provided under paragraph 6 of this message, this order applies to you with effect from the date when this order was served on you/(date when service of this order is dispensed with by the Court)/(later date specified by the Court)*. |
|
| 6. | If you are an individual or entity identified in a notification in Form 246 as a person to whom this order applies, this order applies to you with effect from the date when this order was served on you, together with a notification of the particulars of the relevant statement and of any such publication of the relevant statement. |
|
| 7. | This order ceases to have effect during any period when the order is suspended by the Court, when the order expires, or when the order is cancelled by the Court. |
|
| 8. | In this order and this message, “publish”, in relation to a communication or statement, means to make the communication or statement available in any form such that the communication or statement is or can be heard, seen or otherwise perceived by the public in Singapore or a member of the public in Singapore, and includes cause to be published. |
|
| * Delete whichever is inapplicable. |
| + Delete if not applicable. |
| | |
|
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| ORDER UNDER SECTION 16A/16B/16AA/16BA* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | |
|
In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement(s)). |
| | Before the Honourable District Judge |
| | | Upon the application of (name of applicant), and upon reading the affidavit of (name of applicant) [and the affidavit of (name of person responding)]+, and upon hearing , and upon the applicant undertaking to abide by any order the Court may make as to damages in case the Court should later be of the opinion that any person has sustained by reason of this order which the applicant ought to pay: |
| The Court being satisfied that there is prima facie evidence that the following relevant statement(s) about the subject is/are* false, it is ordered that: |
|
|
[specify particulars of statement(s)] |
|
|
1. | *+Pursuant to section 16A: The Respondent(s) [and any other persons*] must stop publishing the relevant statement and must not publish any substantially similar statement: |
|
| [specify the Respondent(s) to which the interim stop publication order is to apply; and the time by which each person must comply with such order] |
|
| | *+Pursuant to section 16B: The Respondent must publish the following interim notice: |
|
| [specify the Respondent to which the interim notification order is to apply; the person(s) or description of persons* to whom the correction must be published; the content, form and manner of the interim notification order; and the time by which each interim notice must be published] |
|
| | *+Pursuant to section 16AA: The Respondent must disable access by end‑users of its internet intermediary service provided in Singapore to the following material: |
|
| [specify the Respondent to which the interim disabling order is to apply; the material to which access is to be disabled; and the time by which the Respondent is required to comply with such order] |
|
| | *+Pursuant to section 16BA: The Respondent must publish the following targeted interim notice to all end‑users in Singapore of its internet intermediary service who [access/it knows had accessed*] specified material [or identical copies of specified material*]: |
|
| [specify the Respondent to which the targeted interim notification order is to apply; the material to which the end‑users have access that consists of or contains the relevant statement or identical copies of it; the content, form, and manner of the targeted interim notification order; and the time by which the Respondent must comply with such order] |
|
| 2. | The Court to give such other direction(s) as the Court thinks fit. |
|
(a) | This order does not apply to the following person(s): |
|
(b) | [Specify any other exception(s) to this order]. |
|
| 3. | This order is subject to the following condition(s): |
|
(a) | If this order is subsequently varied, suspended or cancelled, and the Court finds that this order has caused loss to any person, the Court may order the applicant to compensate that person for that loss. |
|
(b) | [Specify any other condition(s) to which this order is subject]. |
|
| 4. | [Specify any other direction(s) given by the Court].+ |
|
| | | | | 1. | You must read the terms of this order very carefully. |
|
| 2. | If you disobey this order, you/you (a director or an officer of [specify name of body corporate])* will be liable to process of execution for the purpose of compelling you/[specify name of body corporate]* to obey this order. In addition, you may be guilty of contempt of court. |
|
| 3. | You have a right to ask the Court to vary, suspend or cancel this order. |
|
| 4. | The Court may, on the application of the subject, the author of the relevant statement or any individual or entity to whom this order applies, vary, suspend or cancel this order. |
|
| 5. | Except as provided under paragraph 6 of this message, this order applies to you with effect from the date when this order was served on you/(date when service of this order is dispensed with by the Court)/(later date specified by the Court)*. |
|
| 6. | If you are an individual or entity identified in a notification in Form 246 as a person to whom this order applies, this order applies to you with effect from the date when this order was served on you, together with a notification of the particulars of the relevant statement and of any such publication of the relevant statement. |
|
| 7. | This order ceases to have effect during any period when the order is suspended by the Court, when the order expires, or when the order is cancelled by the Court. |
|
| 8. | In this order and this message, “publish”, in relation to a communication or statement, means to make the communication or statement available in any form such that the communication or statement is or can be heard, seen or otherwise perceived by the public in Singapore or a member of the public in Singapore, and includes cause to be published. |
|
| * Delete whichever is inapplicable. |
| + Delete if not applicable. |
| | |
|
|
O. 109, r. 4(12), (13), (14), (15)(c), (16) and (17) |
| NOTIFICATION OF PARTICULARS OF RELEVANT STATEMENT AND OF PUBLICATION OF THAT STATEMENT TO PERSON IDENTIFIED AFTER ORDER MADE (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | | In the matter of an application under section 15A of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement). |
| | NOTIFICATION OF PARTICULARS OF RELEVANT STATEMENT AND OF PUBLICATION OF THAT STATEMENT |
| Part A — Brief Particulars |
| 1. | Particulars of relevant statement: |
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| 2. | Particulars of publication of relevant statement: |
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| | 3. | To the best of my knowledge, information and belief, the particulars of the person against whom an order under section 15A/16A* of the Protection from Harassment Act (Cap. 256A) applies to are as follows: |
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(a) | Name or, if the name is unknown, Unique Identifier (e.g. Internet location address, website, username or account or email address): |
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(b) | NRIC No. (for Singapore citizen) or No., type and country of issue of foreign identification document (for foreign citizen): |
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(d) | Other electronic means of contacting the person: |
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| 4. | To the best of my knowledge, information and belief, the person has the following presence on the Internet: |
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(a) | Internet website address(es): |
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(b) | Blog (or weblog) address(es): |
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(c) | Account(s) on social media or social networking website(s): |
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(d) | Page(s) on social media or social networking website(s): |
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| 5. | The particulars of each publication by the person of the relevant statement (including the Internet location address of each publication on the Internet, if any) are as follows: |
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| 6. | I attach the following evidence in support of my statements at paragraph 5: |
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(c) | Other evidence (including electronic documents or records): |
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| 7. | I have/have not* approached the person to remove the relevant statement: |
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(a) | The person’s response to my approach was as follows:* |
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(b) | I did not approach the person for the following reasons:* |
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| Part C — Confirmation of Contents |
| 8. | I confirm that to the best of my knowledge, information and belief, the information contained in this document is true. |
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| | | | | * Delete whichever is inapplicable. |
| + Repeat this Part if there is more than one person to whom the order under section 15A/16A of the Protection from Harassment Act (Cap. 256A) is to apply. |
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| APPLICATION UNDER SECTION 15(5)/16(6)* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | | In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement). |
| | | Let all parties concerned attend before the District Judge on (date/time), on the hearing of an application by (name of person making application) for an order that: |
| 1. | The order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) made on (date) be varied as follows:* |
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| [specify how the order is to be varied] |
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| 2. | The order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) made on (date) be suspended for a period of beginning on (date)/cancelled*. |
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| 3. | The Court give such other direction(s) as the Court thinks fit.* |
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| | | This summons is taken out by (name of person making application or solicitor for that person) whose address is . |
| * Delete whichever is inapplicable. |
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| AFFIDAVIT IN SUPPORT OF APPLICATION UNDER SECTION 15(5)/16(6)* OF PROTECTION FROM HARASSMENT ACT (CAP. 256A) |
| | | IN THE STATE COURTS OF THE REPUBLIC OF SINGAPORE |
| | | In the matter of an application under section 15A/15B/15C/15D/15E* of the Protection from Harassment Act (Cap. 256A). |
| And in the matter of (name of subject of relevant statement). |
| | | I, (name of person making application), do make oath (or affirm) and say that the statements contained in the document exhibited and marked “A” are true. |
| Sworn (or affirmed) as in Form 78. |
| INFORMATION IN SUPPORT OF APPLICATION |
| Part A — Particulars of person making application |
| 1. | My particulars are as follows: |
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(b) | NRIC No. (for Singapore citizen) or No., type and country of issue of foreign identification document (for foreign citizen): |
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| 2. | I am deposing this affidavit in my own capacity/in my capacity as*: |
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| Part B — Information in support of application |
| 3. | I am applying for an order that the order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) made on (date) be varied as follows:* |
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| 4. | I am applying for an order that the order under section 15A/15B/15C/15D/15E/16A/16B/16AA/16BA* of the Protection from Harassment Act (Cap. 256A) made on (date) be suspended for a period of beginning on (date)/cancelled*. |
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| 5. | The reasons for my application are as follows: |
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| Part C — Confirmation of Contents |
| 6. | I confirm that to the best of my knowledge, information and belief, the information contained in this document is true. |
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| | [Signature of person making application] |
| Name of person making application: |
| | * Delete whichever is inapplicable. |
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”. |
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