To: The Administrator of Tokelau I, [Full name], of [Place of residence], [Occupation] apply for an order dissolving my marriage to [Full name of respondent]. This application is made on the ground that: (1) The respondent has, since the solemnisation of our marriage, committed adultery. OR (2) The respondent has, since the solemnisation of our marriage, treated me (or my child or both my child and me) with cruelty. OR (3) I am living apart from the respondent, and we will, at the lodging of this application, have been living apart for the period of 3 years immediately preceding the lodging of this application. I say: 1. I am a Tokelauan and I ordinarily reside in Tokelau in the village of [Name of village]. OR 1. The respondent is a Tokelauan and he (or she) ordinarily resides in Tokelau in the village of [Name of village]. OR 1. The respondent and I are both Tokelauans and we both ordinarily reside in Tokelau. 2. The respondent has, since the solemnisation of our marriage, committed adultery: [Give details]. OR 2. The respondent has, since the solemnisation of our marriage, treated me (or my child [Full name] or both my child [Full name] and me) with cruelty [Give details]. OR 2. (1) I am living apart from the respondent, and we will, at the lodging of this application, have been living apart for the period of 3 years immediately preceding the lodging of this application. (2) We ceased living together on [Insert date]. 3. There are no children of our marriage. OR 3. We have the following natural and adopted children of our marriage: Full name of each child Age at application Name of person with whom each child is living at the time of application, and the relationship (if any) of that person to the child 4. The respondent's address is [Insert address, if known]. Signature of Applicant ...................... Sworn at [Place] this..........day of.........19......, before me- Commissioner [or other person authorised under the Tokelau Affidavits and Declarations Regulations 1986 to take an affidavit.] Notes Documents to accompany this application. At the time of the lodging of this application, it must be accompanied by- (i) The original or a certified copy of the certificate of the marriage to which it relates; and (ii) Affidavits verifying any facts stated in the application in support of the grounds on which it is made. Application fee. An application fee of $10 must accompany this application.

To: The Administrator of Tokelau We, [Full name], of [Place of residence], [Occupation] and [Full name], of [Place of residence], [Occupation] jointly apply for an order dissolving our marriage. This application is made on the ground that we are living apart, and we will, at the lodging of this application, have been living apart for the period of 3 years immediately preceding the lodging of this application. We say: 1. We are both Tokelauans and we both ordinarily reside in Tokelau. OR 1. I, [Give full name of one of the applicants] am a Tokelauan and I ordinarily reside in Tokelau in the village of [Name of village]. 2. We are living apart. 3. We will, at the lodging of this application, have been living apart for the period of 3 years immediately preceding the lodging of this application. 4. We ceased living together on [Insert date]. 5. There are no children of our marriage. OR 5. We have the following natural and adopted children of our marriage: Full name of each child Age at application Name of person with whom each child is living at the time of application, and the relationship (if any) of that person to the child Signatures of Applicants ............. Severally sworn at [Place] this......day of........19......, before me- Commissioner [or other person authorised under the Tokelau Affidavits and Declarations Regulations 1986 to take an affidavit.] Notes Documents to accompany this application. At the time of the lodging of this application, it must be accompanied by the original or a certified copy of the certificate of the marriage to which it relates. Application fee. An application fee of $10 must accompany this application.

TO: .............................. Your [Wife or husband], [Insert name], has lodged with the Administrator of Tokelau an application for an order dissolving your marriage under the Tokelau Divorce Regulations 1987. Copies of that application, those regulations, and of any relevant affidavits, are attached for your information. Notice of defence If you wish to make a statement in answer to anything contained in the application, you may do so by means of a notice of defence. The notice of defence must be in form 6 in the Schedule to the Tokelau Divorce Regulations 1987 (see page 3 of the attached copy of those regulations). Any facts stated in that notice must be supported by a sworn affidavit, which should accompany the notice. Time for lodging notice of defence If you reside in Tokelau, you must lodge your notice of defence (and any supporting affidavits) within 30 days after the date of this notice. If you reside outside Tokelau, you must lodge your notice of defence (and any supporting affidavits) within 3 months after the date of this notice. You may lodge your notice of defence with- (i) The Office for Tokelau Affairs at Apia in Western Samoa; or (ii) The Administration Officer on any island of Tokelau. Method of lodging notice of defence Your notice of defence may be lodged by delivering it by hand or by sending it by registered airmail. Consideration of application by Taupulega As soon as possible after the receipt of your notice of defence, or after the time for lodging a notice of defence has expired, the application for an order dissolving your marriage will be considered by the Taupulega on the relevant island of Tokelau. The Taupulega will then report to the Administrator of Tokelau on whether your marriage should be dissolved. Making or refusal of order dissolving marriage An order under the Tokelau Divorce Regulations 1987 dissolving a marriage becomes effective on being made. You will be notified if an order is made or refused. Power of Administrator of Tokelau to make other orders You may also request the Administrator of Tokelau to make orders in relation to certain matters, including the custody of your children (if any), and the division of any property owned by you and your spouse, if your marriage is dissolved. The matters on which such orders may be made are set out in regulation 13 of the attached copy of the Tokelau Divorce Regulations 1987. If you wish to make a request, you should write to the Administrator of Tokelau without delay. Signed: ............................................. Date: ..............................................

Application No............................ Applicant [Give full name, place of residence, and occupation] Respondent [Give full name, place of residence, and occupation] I, [Full name], of [Place of residence], [Occupation] swear: 1. On [Insert date] I delivered to the respondent a copy of the notice annexed to this affidavit and marked with the letter A by delivering it to the respondent personally at [Address]. 2. At the same time I delivered to the respondent- (i) A copy of the application annexed to this affidavit and marked with the letter B; and (ii) A copy of the affidavit lodged with that application (a copy of which affidavit is annexed to this affidavit and marked with the letter C); and (iii) A copy of the Tokelau Divorce Regulations 1987- by delivering them personally to the respondent at [Address]. 3. The respondent is personally known to me by reason of the following facts, namely, [State the facts establishing personal knowledge]. OR 3. The respondent is not personally known to me, but I believe that the person to whom I delivered the above documents is the respondent by reason of the following facts, namely, [State the facts relied on]. .......................................... (Signature of person making the affidavit) Sworn at [Place] this...........day of......19......, before me- .......................................... (Signature of person taking the affidavit) Commissioner [or other person authorised under the Tokelau Affidavits and Declarations Regulations 1986 to take an affidavit.]

Application No............................ Applicant [Give full name, place of residence, and occupation] Respondent [Give full name, place of residence, and occupation] I, [Full name], of [Place of residence], [Occupation] swear: On [Insert date] I sent to the respondent, by registered post, addressed to him (or her) at [State address],- (i) A copy of the notice annexed to this affidavit and marked with the letter A; and (ii) A copy of the application annexed to this affidavit and marked with the letter B; and (iii) A copy of the affidavit lodged with that application (a copy of which affidavit is annexed to this affidavit and marked with the letter C); and (iv) A copy of the Tokelau Divorce Regulations 1987. OR 1. I am [Give details of occupation, etc]. 2. I have taken the following steps to bring to the notice of the respondent the application by the applicant for an order dissolving the marriage between the applicant and the respondent: [State the steps taken. If notice has been given by advertisement in any newspaper, state the name of the newspaper, where it is published, and the date of publication, and annex extracts taken from the newspaper which contain such advertisement.] OR 2. The respondent's address outside Tokelau is unknown, and it is not practicable, by reason of the following facts, to take any steps to bring to the notice of the respondent the application by the applicant for an order dissolving the marriage between the applicant and the respondent: [State the facts relied on]. ......................................... (Signature of person making the affidavit) Sworn at [Place] this........day of............19........, before me- ................................ Signature of person taking the affidavit) Commissioner [or other person authorised under the Tokelau Affidavit and Declarations Regulations 1986 to take an affidavit.]

To: The Administrator of Tokelau I, [Full name], of [Place of residence], [Occupation], wish to make the following statement in answer to the application by my spouse, [Insert name], for an order dissolving our marriage. I say, in answer to the applicant,- 1. The following facts stated in the application are accepted by me as correct: [Here set out the facts accepted as correct]. 2. The following facts stated in the application are not accepted by me as correct: [Here set out the facts not accepted as correct]. 3. [Here set out any other facts relating to the application or to the circumstances which have existed or are existing between the parties which the Administrator of Tokelau should be told about.] Signature of Respondent Sworn at [Place] this ............ day of ................ 19....., before me- Commissioner [or other person authorised under the Tokelau Affidavits and Declarations Regulations 1986 to take an affidavit.] Note Documents to accompany this notice. At the time of the lodging of this notice, it must be accompanied by affidavits verifying any facts stated by the respondent in the notice.

Upon application made under the Tokelau Divorce Regulations 1987, I, the Administrator of Tokelau, by this order, dissolve the marriage that took place on the ................. day of ................ 19...... at [State Church, or other place at which the marriage took place] in [Name of village, etc.] between [Names of the parties to the application]. ................. Administrator of Tokelau ................. Date Note This order takes effect on being made.