111716-1927-Supplementary-Draft-Order-in-Council--Asylums — Page 1

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No. S. 190.-The following draft of an Order in Council which it is proposed to make when the Asylums Amendment Bill becomes law is published for general informa- tion.

Draft Order in Council.

No.

Order made by the Governor in Council under section of the Asylums Ordinance, 1906, Ordinance No. 6 of 1906, on the

The following forms are prescribed.

day of

1927.

;

COUNCIL CHAMBER,

1927.

2

FORM NO. I.

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.....

.of..

.of.

have reason to believe

is a person of unsound

mind. The reasons for my belief are as follows:

(a) (Result of personal observation).

Strike out the inappro- priate

parargah.

(b) (Facts communicated to me by others).

of...

who is said to be a relative of the person in question, has been communicated with, with the following result---

01

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.