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[Subsidiary] Penalty.

CAP. 212] Termination of Pregnancy Regulations

6.

[1982 Ed.

Any person who contravenes any provision of regulation 3, 4 or 5 shall be guilty of an offence and shall be liable on conviction to a fine of $2,000.

L.N. 50/82.

CONFIDENTIAL

SCHEDULE

FORM 1

L.N. 66/82.

I,

of

(Name and qualifications of practitioner in block capitals)

(Full address of practitioner)

and I,

of

(Name and qualifications of practitioner in block capitals)

(Full address of practitioner)

[reg. 3.]

hereby certify that we are of the opinion, formed in good faith, that in the case of

the pregnancy of

(Full name of pregnant woman in block capitals)

of

(Usual place of residence of pregnant woman in block capitals)

(Ring appropriate number)

L.N. 66/82.

1. the continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if the pregnancy were terminated;

2. the continuance of the pregnancy would involve risk of injury to the physical or mental health of the pregnant woman greater than if the pregnancy were terminated;

3. there is a substantial risk that if the child were born, it would suffer from

such physical or mental abnormality as to be seriously handicapped. This certificate of opinion is given before the commencement of the treatment for the termination of the pregnancy to which it relates.

Signed

Signed

Date

Date

Note: For termination of a pregnancy in emergency under section 47A(4) and termination of a pregnancy of more than 24 weeks duration under section 47A(2C) of the Ordinance, use respectively Form 2 and Form 2A.

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