Impugned Provision / other anomaly Breach of Section / Article FORM I Under Rules 5(1) and (2) and 17(3) Encroach upon the Legislative Policy of the Parliament. FORM I [See Rules 5(1) and (2) and 17(3)] Domestic Incident Report under Sections 9(b) and 37(2)(c) of the Protection of Women from Domestic Violence Act, 2005 (43 of 2005) 1. Details of the complainant/aggrieved person (1) Name of the complainant/aggrieved person: (2) Age: (3) Address of the shared household: (4) Present Address: (5) Phone Number, if any: 2. Details of Respondents: Sl. No. Name Relationship with the aggrieved person Address Telephone No., if any 3. Details of children, if any, of the aggrieved person: (a) Number of Children: (b) Details of Children: Name Age Sex With whom at present residing 4