No.
Draft Order in Council.
Order made by the Governor in Council under section of the Asylums Ordinance, 1906, Ordinance No. 6 of 1906, on the
day of
1927.
The following forms are prescribed.
COUNCIL CHAMBER,
1927.
>
FORM NO. 1.
Clerk of Councils.
Application for an order for the removal to an asylum for the purpose of detention and
observation of a person believed to be of unsound mind.
Asylums Ordinance, 1906, s. 7.
that..
I..
..of..
mind. The reasons for my belief are as follows:
(a) (Result of personal observation).
Strike out the inappro- priate
paragraph.
(b) (Facts communicated to me by others).
of...
..have reason to believe
is a person of unsound
who is said to be a relative of the person in question, has been communicated with, with the following result---
ΟΥ
No relative of the person in question can be found in the Colony.
I therefore apply under section 7 of the Asylums Ordinance, 1906, for a written order authorizing the said...
to be conveyed to the (Government) Asylum and to be detained there under observation for a period not exceeding seven. days.
Dated the........
.day of..
19......
Signature of applicant.
44