Petition for Order of Reception of Mentally iIl Person

Petition for Order of Reception of Mentally iIl Person

To

The Metropolitan Magistrate/

Sub-divisional Magistrate/

Magistrate empowered under Act 14 of 1987

In the matter of AB of ……………… etc., a person alleged to be a mentally ill person under s. 2(m) of the Mental Health Act 1987

The petition of CD (full name, address and relationship) as follows:

1. I, the applicant, an ……………..  years of age.

2. I desire to obtain an order for the reception of AB of, etc., as a mentally ill person in the Psychiatric Hospital/Nursing home at etc. etc.

3. I last saw AB at, etc., on the …………………….  day of ………………..

4. I am the ………….. (relationship) of the said AB.

The circumstances under which this petition is presented by the applicant are as follows, etc.

(Or, if the applicant is not a relative—That the applicant is not a relative  of the said AB. The reasons why this petition is not presented by a relative are as follows, etc.)

5. The persons signing the medical certificates which accompany the application are, etc.

6. A statement of particulars relating to the said AB accompanies this petition.

7. An application for an enquiry into the mental capacity of the said AB was made to the, etc., on the …………… day of ……………, and a certified copy of the order made on the said application is annexed hereto.

(Or—No application for an enquiry into the mental capacity of the said AB has been made previous to this application).

I therefore pray that a reception order may be made in accordance with the foregoing statement.

(Date)

CD

The statement contained or referred to in paragraphs are true to my knowledge; the other statements are true to my information and belief.

(Date)

EF

The statement of particulars above referred to

The following is a statement of particulars relating to the said AB:

Name of patient in full.—

Sex and age.—

Married, single or widower.—

Previous occupation.—

Caste and religion.—

Residence at the time of the application.—

Names of any near relative to the patient who are alive.—

Whether this is first attack of mental illness.—

Age on first attack.—

Supposed cause.—

Whether the patient is subject to epilepsy.—

Whether suicidal.—

Whether the patient is known to be suffering from any form of tubercular disease.—

Whether dangerous to others and in what way.—

Whether any near relative (stating the relationship) has been afflicted with insanity.—

Whether the patient is addicted to alcohol or the use of opium, ganja, charas, bhang, cocaine or other intoxicant.—

(If any of the particulars in the above statement be not known, the fact to be so stated).

Disclaimer:

The information contains in this web-site is prepared for educational purpose. This site may be used by the students, faculties, independent learners and the learned advocates of all over the world. Researchers all over the world have the access to upload their writes up in this site. In consideration of the people’s participation in the Web Page, the individual, group, organization, business, spectator, or other, does hereby release and forever discharge the Lawyers & Jurists, and its officers, board, and employees, jointly and severally from any and all actions, causes of actions, claims and demands for, upon or by reason of any damage, loss or injury, which hereafter may be sustained by participating their work in the Web Page. This release extends and applies to, and also covers and includes, all unknown, unforeseen, unanticipated and unsuspected injuries, damages, loss and liability and the consequences thereof, as well as those now disclosed and known to exist.  The provisions of any state’s law providing substance that releases shall not extend to claims, demands, injuries, or damages which are known or unsuspected to exist at this time, to the person executing such release, are hereby expressly waived. However the Lawyers & Jurists makes no warranty expressed or implied or assumes any legal liability or responsibility for the accuracy, completeness or usefulness of any information, apparatus, product or process disclosed or represents that its use would not infringe privately owned rights. Reference herein to any specific commercial product process or service by trade name, trade mark, manufacturer or otherwise, does not necessarily constitute or imply its endorsement, recommendation or favouring by the Lawyers & Jurists. The views and opinions of the authors expressed in the Web site do not necessarily state or reflect those of the Lawyers & Jurists. Above all, if there is any complaint drop by any independent user to the admin for any contents of this site, the Lawyers & Jurists would remove this immediately from its site.