新人身保护令申请书范文精选5篇.docVIP

人身保护令申请书范文精选5篇5

人身保护令申请书范文第一篇

申请人：＊＊＊，女，汉族，＊年＊月＊日出生，住＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊，身份证号：＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊，电话：＊＊＊＊＊＊＊＊＊。

被申请人：＊＊＊，男，汉族，＊年＊＊月＊日出生，住＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊，身份证号：＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊＊，电话：＊＊＊＊＊＊＊＊＊。

申请请求：请求人民法院依法签发人身安全保护令

一、禁止被申请人殴打、威胁申请人及申请人的亲属（禁止被申请人实施家庭暴力）；

二、禁止被申请人接触申请人及其相关近亲属；

三、禁止被申请人骚扰、跟踪申请人及申请人的亲属