Agreement registration Number: ___________ [authenticated legal number]
This separation agreement is made and entered on ___/____/____ [registration date]
Between
Husband Name: _________________ residing at: ______________ Phone Number: _____________, hereinafter referred as the husband [details of the husband]
AND
Wife Name: _________________ staying at: ________________ Phone Number hereinafter called as the wife. [Details of the wife]
Whereas the couple has decided to separate due to the following mentioned reason:
___________-
___________ [explain the causes of separation in brief]
The couple has __________ children for which particular are as followings:
Name Date of Birth Age
_____ __________ ______ [details of children]
The husband is agreed to pay $ ____________ as spouse settlement allowance and $ __________ for children allowance. [Amount in the local currency]
Validation of the separation agreement by the couple:
Singed by the Husband:
_______________
Singed by the Wife
______________ [agreement accepted by the couple]
Signature of the Witness:
_____________ [signature of the eyewitness]