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S.No.	Description	Particulars
1.	Name
2.	Age
3.	Residential Address
4.	E-mail Address
5.	Date of marriage
6.	Date of separation
7.	Educational qualifications
8.	Professional qualifications
9.	Occupation
10.	Monthly income (as mentioned at serial no.45)
11.	Monthly expenditure (as mentioned at serial no.60)
12.	Whether you are assessed to Income Tax?
13.	Whether you have sufficient income to support yourself?
14.	If not, whether you have claimed maintenance from your spouse? If so, how much?
15.	Whether you are staying at matrimonial home?
16.	If not staying at matrimonial home, relationship and income of the person with whom you are staying.
17.	Members of the family: (a) Dependent
	(b) Non-dependent
18.	Whether your spouse has claimed maintenance from you? If so, how much?
19.	Whether you have voluntarily paid or willing to pay maintenance to your spouse? If so, how much?
20.	Whether you are willing to pay litigation expenses to your spouse? If so, how much?
21.	Particulars of pending litigation between the parties
22.	Whether any maintenance order has been passed by any Court? If so, give particulars and attach copy of the order?
23.	Whether the maintenance is being paid in terms of the aforesaid order? If so, file the statement of maintenance paid upto date
24.	Expenses incurred on this litigation
25.	Particulars of the bank account with name and address of the bank for the purpose of payment from or receipt of maintenance, as the case may be
26.	Name of your counsel and his/her mobile number and e-mail address

27.	Educational and professional qualifications of your spouse
28.	Whether your spouse was/is earning? If so, give particulars of the occupation and income of your spouse.
29.	Whether your spouse is staying at matrimonial home. If not, whether he/she is staying at his/her own accommodation or at a rented accommodation? If staying at a rented accommodation, what is the rent being paid by him/her?
30.	Particulars of the assets and liabilities of your
	spouse
31.	Do you have any documents relating to the income, assets and expenditure of your spouse? If so, give the particulars and attach copies thereof?

32.	Children from the marriage with their name and age
33.	Who has the custody of the minor children
34.	Name and address of school(s) where the children are studying
35.	Who is bearing the expenditure of Children’s education
36.	How much expenditure has been incurred on the children’s maintenance and children’s education from the date of separation till now?
37.	If the children are in custody of your spouse, whether you have voluntarily paid or willing to pay the expenses for the children’s maintenance and education? If so, how much?
38.	Details of expenditure on children	Amount (in Rs.)
	(i) School/College fees
	(ii) Crech/Day Care/After school care
	(iii) Books/Stationery
	(iv) Private Tuitions
	(v) Pocket Money/Allowances
	(vi) Sports
	(vii) Outings/summer camps/vacations
	(viii) Entertainment
	(ix) Others
39.	TOTAL EXPENDITURE (Give monthly expenditure)

S. No.	Description	Particulars
1.	Name	...............
2.	Age	........ years
3.	Residential Address	..................................................... .....................................................
4.	E-mail Address	.........................
5.	Date of marriage	......20..
6.	Date of separation	......20..
7.	Educational qualifications	....................
8.	Professional qualifications	.................
9.	Occupation	.
10.	Monthly income (as mentioned at serial no.45)	..................
11.	Monthly expenditure (as mentioned at serial no.60)	...................
12.	Whether you are assessed to Income Tax?	Yes/No
13.	Whether you have sufficient income to support yourself?	Yes/No
14.	If not, whether you have claimed maintenance from your spouse?	Yes/No

15.	Whether you are staying at matrimonial home?	Yes/No
16.	If not staying at matrimonial home, relationship and

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