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FORM NO. 2.
Order by a magistrate or justice of the peace authorizing the removal to an asylum for
the purpose of detention and observation of a person alleged to be of unsound mind.
Asylums Ordinance, 1906, s. 7.
Whereas.....
.of
that there is reason to believe that
is of unsound mind, I hereby order that the said.....
...has satisfied me the undersigned
..of.....
.....be conveyed to the
(Government) Asylum and be there detained under observation for a period not exceed- ing seven days from and including the date of this order.
Dated the........
...day of
19......
Magistrate. Justice of the Peace.
NOTE.-The period of detention authorized by this order will expire at midnight on the seventh day, counting the date of the order as the first day.
We..
FORM NO. 3.
Certificate of medical practitioners as to unsoundness of mind.
Asylums Ordinance, 1906, s. 9.
and...
medical practitioners, hereby
certify that..
..at present detained for observation
under the authority of the Asylums Ordinance, 1906, is in our opinion a person of in- sound mind.
The reasons for my opinion are as follows :---
(Here state reasons).
Dated the
...day of.
The reasons for my opinion are as follows :-
(Here state reasons).
Dated the...............day of.
19......
Medical Practitioner.
19......
Medical Practitioner,