CIVIL, Criminal

Forms under [Code of Criminal procedure -Jammu and kashmir]

I. – Summons to an Accused Person.

[See section 68]

To

Whereas your attendance is necessary to answer to a charge of (state shortly the offence charged), you are hereby required to appear in person(or by pleader, as the case may be) before the (Magistrate) of ……………. on the …………… day of ……………… Herein fail not.Dated this …………………………… day of ……………. , 20(Seal)

(Signature)

II. – Warrant of Arrest

[See section 75]

To (name and designation of the person or persons who is or are to execute the warrant).Whereas ……………… of ……………. stands charged with the offence of (state the offence), you are hereby directed to arrest the said ………………….. and to produce him before me. Herein fail not.Dated this ………………………… day of …………………. , 20(Seal)

(Signature)

[See section 76]

This warrant may be endorsed as follows :-If the said ……………….. shall give bail himself in the sum of …………….. with one surety in the sum of ……………………….. [or two sureties each in the sum of …………. ] to attend before me on the ………………….. day of ………………….. and to continue so to attend until otherwise directed by me, he may be released.Dated this …………………………. day of …………………., 20

(Signature)

III. – Bond and Bail-Bond After Arrest under a Warrant

[See section 86]

I, (name) of …………………… being brought before the District Magistrate of ………………… (or as the case may be) under a warrant issued to compel my appearance to answer to the charge of …………………., do hereby bind myself to attend in the Court of ……………… on the …………… day of ……………. next, to answer to the said charge, and to continue so to attend until otherwise directed by Court ; and, in case of my making default herein, I bind myself to forfeit, to the Government, the sum of rupeesDated this …………………………….. day of …………………, 20

(Signature)

I do hereby declare myself surety for the above named …………….. of ……………, that he shall attend before …………………. in the Court of ………………. on the ……………… day of ………………. next, to answer to the charge on which he has been arrested, and shall continue so to attend until otherwise directed by the Court ; and, in case of his making default therein I bind myself to forfeit, to the Government, the sum of rupeesDated this ……………………………. day of …………………, 20

(Signature)

IV. – Proclamation Requiring the Appearance of a Person Accused

[See section 87]

Whereas complaint has been made before me that (name, description and address) has committed (or is suspected to have committed) the offence of ……………. punishable under section ……………… of the Ranbir Penal Code and it has been returned to a warrant of arrest thereupon issued that the said (name) cannot be found, and whereas it has been shown to my satisfaction that the said (name) has absconded (or is concealing himself to avoid the service of said warrant) ;Proclamation is hereby made at the said ………………… of …………… is required to appear at (place) before this Court (or before me) to answer the said complaint on the …………………. day ofDated this ……………………….. day of ………………………., 20

(Signature)

V. – Proclamation Requiring the Attendance of a Witness

[See section 87]

Whereas complaint has been made before me that (name, description and address) has committed (or is suspected to have committed) the offence of (mention the offence concisely) and a warrant has been issued to compel the attendance of (name, description and address of the witness) before this Court to be examined touching the matter of the said complaint; and whereas it has been returned to the said Warrant that the said (name of witness) cannot be served, and it has been shown to my satisfaction that he has absconded (or is concealing himself to avoid the service of the said warrant) ;Proclamation is hereby made that the said …………………… (name) is required to appear at (place) before the Court of ………. on the ………….. day of ………….. next at …………….. o’clock to be examined touching ………., the offence complained of, :Dated this ……………………….. day of ………………….,20(Seal)

(Signature)

VI. – Order of Attachment to Compel the Attendance of a Witness

[See section 88]

To the Police Officer-in-charge of the Police-station atWhereas a warrant has been duly issued to compel the attendance of (name, description and Address) to testify concerning a complaint pending before this Court, and it has been returned to the said warrant that it cannot be served ; and whereas it has been shown to my satisfaction that he has absconded (or is concealing himself to avoid the service of the said warrant) ; and thereupon a Proclamation has been or is being duly issued and published requiring the said ……………………………… to appear and give evidence at the time and place mentioned therein.This is to authorise and require you to attach by seizure the movable property belonging to the said …………………….. to the value of rupees ………………… which you may find within the district of and to hold the said property under attachment pending the further order of this Court, and to return this warrant with an endorsement certifying the manner of its execution.Dated this ………………………….. day of ……………………, 20(Seal)

(Signature)

Order of Attachment to Compel the Appearance of a Person Accused

[See section 88]

To (name and designation of the person or persons who is or are to execute the warrant).Whereas complaint has been made before me that (name, description and address) has committed (or is suspected to have committed) the offence of ………………… punishable under section …………………. of …………. the Ranbir Penal Code, and it has been returned to a warrant of arrest thereupon issued that the said (name) cannot be found and whereas it has been shown to my satisfaction that the said (name) has absconded (or is concealing himself to avoid the service of the said warrant) ; and thereupon a Proclamation has been or is being duly issued and published requiring the said ………….. to appear to answer the said charge within ………………….. day ; and whereas the said ……………………….. is possessed of the following property other than land paying revenue to Government in the village (or town) of ……………. in the district of viz. and an order has been made for the attachment thereof ;You are hereby required to attach the said property by seizure, and to hold the same under attachment pending the further order of this Court, and to return this warrant with an endorsement certifying the manner of its execution.Dated this ……………………………… day of ………………………, 20(Seal)

(Signature).

Order Authorising an Attachment by the Deputy Commissioner as Collector

[See section 88]

To the officer-in-charge, Police Station of the District ofWhereas complaint has been made before me that (name, description and address) has committed (or is suspected to have committed) the offence of ………………… punishable under section ………………… of the Ranbir Penal Code, and it has been returned to a warrant of arrest thereupon issued that the said (name) cannot be found ; and whereas it has been shown to my satisfaction that the said (name) has absconded (or is concealing himself to avoid the service of the said warrant) and thereupon a Proclamation has been or is being duly issued and published requiring the said …………….. to appear to answer the said charge within days ; and whereas the said is possessed of certain land paying revenue to Government in the village (or town) of in the district of ;You are hereby authorised and requested to cause the said land to be attached, and to be held under attachment pending the further order of this Court and to certify without delay what you may have done in pursuance of this order.Dated this …………………………….. day of …………………………., 20(Seal)

(Signature)

VII. – Warrant in the First Instance to Bring up A Witness

[See section 90]

To (name and designation of the Police officer or other person or persons who is or are to execute the warrant).Whereas complaint has been made before me that ……………. of ……….. has (or is suspected to have) committed the offence………….of (mention the offence concisely) and it appears likely that (name and description of witness) can give evidence concerning the said complaint ; and whereas I have good and sufficient reason to believe that he will not attend as a witness on the hearing of the said complaint unless compelled to do so ;This is to authorise and require you to arrest the said (name) and on the day of to bring him before this Court, to be examined touching the offence complained of.Given under my hand and the seal of the Court this day of               20(Seal)

(Signature)

VIII. – Warrant to Search After Information of a Particular Offence

[See section 96]

To (name and designation of the Police officer or other person or persons who is or are to execute the warrant).Whereas information has been laid (or complaint has been made) before me of the commission (or suspected commission) of the offence of(mention the offence concisely) and it has been made to appear to me that the production of (specify the thing clearly) is essential to the inquiry now being made (or about to be made) into the said offence (or suspected offence) ;This is to authorise and require you to search for (the thing specified) in the (describe the house or place or part thereof to which the search is to be confined), and, if found, to produce the same forthwith before this Court returning this warrant, with an endorsement certifying what you have done under it, immediately upon its execution.Given under my hand and the seal of the Court, this day of,               20(Seal)

(Signature)

IX. – Warrant to Search Suspected Place of Deposit

[See section 98]

To (name and designation of a Police officer above the rank of a constable).Whereas information has been laid before me, and on due inquiry thereupon had I have been led to believe that the (describe the house or other place) is used as a place for the deposit (or sale) of stolen property (or if for either, of the other purposes expressed in the section, state the purpose in the words of the section) ;This is to authorise and require you to enter the said house (or other place) with such assistance as shall be required, and to use ; if necessary, reasonable force for that purpose, and to search every part of the said house (or other place, or if the search is to be confined to a part, specify the part clearly), and to seize and take possession of any property (or documents, or stamps, or seals, [or obscene objects,] as the case may be)-[Add (when the case requires it) and also of any instruments and materials which you may reasonably believe to be kept for the manufacture of forged documents, or counterfeit stamps or false seals, or counterfeit coin (as the case may be)], and forthwith to bring before this Court such of the said things as may be taken possession of, returning this warrant, with an endorsement certifying what you have done under it, immediately upon its executionGiven under my hand and the seal of the Court, this day of,            20(Seal)

(Signature)

X. – Bond to Keep the Peace

[See section 107]

Whereas I, (name), inhabitant of (place), have been called upon to enter into a bond to keep the peace for the term of …………………. or until the completion of the inquiry in the matter of now ………………… pending in the Court of ……………………., I hereby bind myself not to commit a breach of the peace, or do any act that may probably occasion a breach of the peace, during the said term or until the completion of the said inquiry and, in case of my making default therein, I hereby bind myself to forfeit to the Government the sum …………………. of rupeesDated this …………………………………. day of ……………………….., 20(Seal)

(Signature)

XI. – Bond for Good Behaviour

[See sections 108, 109 and 110]

Whereas I, (name), inhabitant of (place), have been called upon to, enter into a bond to be of good behaviour to the Government and to all subjects of the State for the term of (state the period), or until the completion of the inquiry in the matter of ………………… now pending in the Court of …………………….., I hereby bind myself to be of good behaviour to the Government and to all subjects of the State during the said term or until the completion of the said inquiry; and, in case of my making default therein, I bind myself to forfeit to the Government the sum ………………. of rupeesDated this …………………………………. day of ………………………., 20

(Signature)

(Where a bond with sureties is to be executed, add) we do hereby declare ourselves sureties for the above named that he will be of good behaviour to the Government and to all subjects of the State during the said term or until the completion of the inquiry ; and, in case of his making default therein, we bind ourselves, jointly and severally, to forfeit to the Government the sum of rupeesDated this ………………………………… day of ……………………….., 20(Signature)

XII. – Summons of Information of a Probable Breach of the Peace

[See section 114]

To                                                         ofWhereas it has been made to appear to me by credible information that (state the substance of the information), and that you are likely to commit a breach of the peace (or by which act a breach of the peace will probably be occasioned), you are hereby required to attend in person (or by a duly authorised agent), at the office of the Magistrate of ………………. on the ……………. day of ………….. 20, at ten o’clock in the forenoon, to show cause why you should not be required to enter into a bond for rupees [when sureties are required, add), and also to give security by the bond of one (or two as the case may) surety (or sureties in the sum of rupees (each if more than one)] that you will keep the peace for the term ofGiven under my hand and the seal of the Court, this day of                20(Seal)

(Signature)

XIII. – Warrant of Commitment on Failure to Find Security to Keep the Peace

[See section 123]

To the Superintendent (or Keeper) of the Jail atWhereas (name and address) appeared before me in person (or by his authorised agent on the ………………. day of ……………. in obedience to a summons calling upon him to show cause why he should not enter into a bond of rupees with one surety, (or a bond with two sureties each in rupees), that he, the said (name), would keep the peace for the period of months; and whereas an order was then made requiring the said(name) to enter into and find such security (state the security ordered when it differs from that mentioned ……………… in the summons) and he has failed to comply with the said order ;This is to authorise and require you, the said Superintendent (or Keeper), to receive the said (name), into your custody, together with this warrant, and him safely to keep in the said Jail for the said period of (term of imprisonment) unless he shall in the meantime be lawfully ordered to be released and to return this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court this day of                 20.(Seal)

(Signature)

XIV. – Warrant of Commitment on Failure to Find Security for Good Behaviour

[See section 123]

To the Superintendent (or Keeper) of the Jail atWhereas it has been made to appear to me that (name and description) has been and is lurking within the district of ………………. having no ostensible means of subsistence (or, and that he is unable to give any satisfactory account of himself);

or

Whereas evidence of the general character of (name and description) has been adduced before me and recorded, from which it appears that he is an habitual robber (or house-breaker, etc. as the case may be) ;And Whereas an order has been recorded stating the same and requiring the said (name), to furnish security for his good behaviour for the term of (state the period) by entering into a bond with one surety (or two or more sureties, as the case may be), himself for rupees …………….., and the said surety (or each of the said sureties) for rupees ………………., and the said (name) has failed to comply with the said order and for such default has been adjudged imprisonment for (state the term) unless the said security be sooner furnished;This is to authorise and require you, the said Superintendent (or Keeper), to receive the said (name), into your custody, together with this warrant, and him safely to keep in the said Jail for the said period of (term of imprisonment) unless he shall in the meantime be lawfully ordered to be released and to return this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this           day of           , 20 .(Seal)

(Signature)

XV. – Warrant to Discharge a Person Imprisoned on Failure to Give Security.

[See sections 123 and 124]

To the Superintendent (or Keeper) of the Jail at (or other officer in whose custody the person is).Whereas (name and description of prisoner) was committed to your – custody under warrant of the Court, dated the ……………….. day of ………… and has since duly given security under section ……………… of the Code of Criminal Procedure ;

or

and there have appeared to me sufficient grounds for the opinion that he can be released without hazard to the community ;This is to authorise and require you forthwith to discharge the said (name) from your custody unless he is liable to be detained for some other cause.Given under my hand and the seal of the Court, this           day of           20 .(Seal)

(Signature.)

XVI. – Order for the Removal of Nuisances

[See section 133]

To (name, description and address).Whereas it has been made to appear to me that you have caused an obstruction (or nuisance) to persons using the public roadway (or other public place) which etc., (describe the road or public place), by etc., (state what it is that causes the obstruction or nuisance), and that such obstruction (of nuisance) still exists ;

or

Whereas it has been made to appear to me that you are carrying on as owner, or manager, the trade ; or occupation of (state the particular trade or occupation and the place where it is carried on), and that the same is injurious to the public health (or comfort) by reason (state briefly in what manner the injurious effects are caused), and should be suppressed or removed to a different place ;

or

Whereas it has been made to appear to me that you are the owner (or are in possession or have the control over) a certain tank (or well or execution) adjacent to be public way (describe the thoroughfare), and that the safety of the public is endangered, by reason of the said tank (or well or excavation) being without a fence (or insecurely fenced) ;

or

Whereas etc., etc., (as the case may be);I do hereby direct and require you within (state the time allowed) to (state what is required to be done to abate the nuisance) or to appear at in the ……………… Court of …………………. on the ……………. day of ……………… next, and to show cause why this order should not be enforced ;

or

I do hereby direct and require you within (state the time allowed) to cease carrying on the said trade or occupation at the said place, and not again to carry on the same or to remove the said trade from the place where it is now carried on, or to appear, etc. ;

or

I do hereby direct and require you within (state the time allowed) to put up a sufficient fence (state the kind of fence and the part to be fenced) ; or to appear, etc. ;

or

I do hereby direct and require you, etc., etc., (as the case may be).Given under my hand and the seal of the Court, this           day of            , 20(Seal)

(Signature.)

[XVII.-]

[XVIII. – Magistrates Notice and Peremptory Order.]

[See section 140]

To (name, description and address)I do hereby give you notice that it has been found that the order issued on the …………………. day of ……………….. requiring you (state substantially the requisition in the order) is reasonable and proper. Such order has been made absolute, and I hereby direct and require you to obey the order within (state the time allowed) on peril of the penalty provided by the State Ranbir Penal Code for disobedience thereto.Dated this ………………………………… day of ………………………., 20(Seal of the Court)

(Signature)

[XIX. – Injunction to Provide Against Imminent Danger Pending Inquiry.]

[See section 142]

To (name, description and address)Whereas the inquiiy into the conditional order issued by me on the day …………… 20 ……………….., is pending and it has been made to appear to me that the nuisance mentioned in the said order is attended with such imminent danger or injury of a serious kind to the public as to render necessary immediate measures to prevent such danger, or injury I do hereby, under the provisions of section 142 of the Code of Criminal Procedure, Samvat 1989 direct and enjoin you forthwith to (state plainly what is required to be done as a temporary safeguard), pending the result of the inquiry.Dated this ……………………………….. day of ………………………., 20(Seal)

(Signature)

XX. – Magistrate’s Order Prohibiting the Repetition, etc., of a Nuisance

[See section 143]

To (name, description and address)Whereas it has been made to appear to me that etc., (state the proper recital, guided by Form No. XVI, or Form No. XXI, as the case may be) ;I do hereby strictly order and enjoin you not to repeat the said nuisance by again placing or causing or permitting to be placed, etc., (as the case may be).Given under my hand and the seal of the Court, this           day of         , 20 .(Seal)

(Signature)

XXL. – Magistrate’s Order to Prevent Obstruction, Riot, etc.

[See section 144]

To (name, description and address)Whereas it has been made to appear to me that you are in possession (or have the management) of (describe clearly the property) and that, in digging a drain on the said land, you are about to throw or place a portion of the earth and stones dug up upon the adjoining public road, so as to occasion risk of obstruction to persons using the road ;

or

Whereas it has been made to appear to me that you and a number of other persons (mention the class of persons) are about to meet and proceed in a religious procession along the public street, etc., (as the case may be), and that such processions likely to lead to a riot or an affray ;

or

Whereas etc., etc., (as the case may be)I do hereby order you not to place or permit to be placed any of the earth or stones dug from land on any part of the said road ;I do hereby prohibit the procession passing along the said street, and strictly warn and enjoin you not to take any part in such procession (or, as the case recited may require).Given under my hand and the seal of the Court, this           day of             20(Seal)

(Signature)

XXII. – Magistrate’s Order Declaring Party Entitled to Retain Possession of Land etc., in Dispute

[See section 145]

It appearing to me, on the grounds duly recorded, that a dispute, likely to induce a breach of the peace, existed between (describe the parties by name and residence, or residence only if the dispute between bodies of villagers) concerning certain (state concisely the subject of dispute) situate within the local limits of my jurisdiction, all the said parties were called upon to giVe in a written statement, of their respective claims as to the fact of actual possession of the said (the subject of dispute), and being satisfied by due inquiry had thereupon, without reference to the merits of this claim of either of the said parties to the legal right of possession, that the claim of actual possession by the said (name or names or description) is true ;I do decide and declare that he is (or they are) in possession of the said (the subject of dispute) and entitled to retain such possession until ousted by due course of law, and do strictly forbid any disturbance of his (or their) possession in the meantime.Given under my hand and the seal of the Court, this           day of            , 20(Seal)

(Signature)

XXIII. – Warrant of Attachment in The Case of a Dispute as to the Possession of Land, Etc.

[See section 146]

To the police officer in charge of the Police-station at [or, …………. To the Collector of ……………………………………… ].Whereas it has been made to appear to me that a dispute likely to induce a breach of the peace existed between (describe the parties concerned by name and residence, or residence only if the dispute be between bodies of villagers) concerning certain (state concisely the subject of dispute), situate within the limits of my jurisdiction, and the said parties were thereupon duly called upon to state in writing their respective claims as to the fact of actual possession of the said (the subject of dispute), and whereas, upon due inquiry into the said claims, have decided that neither of the said parties was in possession of the said (the subject of dispute) [or I am unable to satisfy myself as to which of the said parties was in possession as aforesaid] ;This is to authorise and require you to attach the said (the subject of dispute) by taking and keeping possession thereof,, and to hold the same under attachment until the decree or order of & competent Court determining the rights of the parties, or the claim to possession, shall have been obtained, and to return this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this         day of            , 20(Seal)

(Signature)

XXIV. – Magistrate’s Order Prohibiting the Doing of Anything on Land or Water

[See section 147]

A Dispute having arisen concerning the right of use of (state concisely the subject of dispute) situate within the limits of my jurisdiction, the possession of which land (or water) is claimed exclusively by (describe the person or persons), and.it appearing to me, on due inquiry into the same, that the aid land (or water) has been open to the enjoyment of such use by the public (or if by an individual or a class of persons, describe him or them) and (if the use can be enjoyed throughout the year) that the said use has been enjoyed within three months of the institution of the said inquiry (or if the use is enjoyable only at particular seasons, say “during the last of the seasons at which the same is, capable of being enjoyed”).I do order that the said (the claimant or claimants of possession) or anyone in their interest, shall not take (or retain) possession of the said land (or water) to the exclusion of the enjoyment of the right of use aforesaid, until he (or they) shall obtain the decree or order of a competent Court adjudging him (or them) to be entitled to exclusive possession.Given under my hand and the seal of the Court, this         day of        , 20(Seal)

(Signature)

XXV. – Bond and Bail-Bond on a Preliminary Inquiry before a Police Officer

[See section 169]

I, (name), of ………………….. being charged with the offence of …………………… and after inquiry required to appear before the Magistrate of

or

and after inquiry called upon to enter in my own recognizance to appear when required, do hereby bind myself to appear at …………………….., in the Court of ……………….., on the ………………… day of ……………. next (or on such day as I may hereafter be required to attend) to answer further to the said charge, and, in case of my making default herein I bind myself to forfeit to the Government the sum of rupeesDated this ……………………………… day of ………………………., 20

(Signature)

I, hereby declare myself (or we jointly and severally declare ourselves and each of us) surety (or sureties) for above said ……………………. that he shall attend at …………………., in the Court of …………………….., on the …………… day of next (or on such day as he may hereafter be required to attend). Further to answer to the charge pending against him, and, in case of …………. his making default therein, I hereby bind myself (or we hereby bind ourselves) to forfeit to the Government the sum of rupeesDated this ……………………………… day of ………………………., 20

(Signature)

XXVI. – Bond to Prosecute or Give Evidence

[See section 170]

I, (name), of (place), do hereby bind myself to attend at in the Court of ………………. at ………………… o’clock on the ……………….. day of ……………….. next and then and there to prosecute (or to prosecute and give evidence) (or to give evidence) in the matter of a charge of ………………… against one A, B, and, in case of making default herein, I bind myself to forfeit to the Government the sum of rupeesDated this ……………………………… day of ………………………. ,20

(Signature)

[XXVI-A. – Special Summons to a Person Accused of a Petty Offence]

[See section 205-A]

To

(name of the accused)

of                      (address)

Whereas your attendance is necessary to answer a charge of a petty offence (state shortly the offence charged). You are hereby required to appear in person (or by Pleader) before (Magistrate) of ……………. on ……………… the day of ………………. 20 , or if you desire to plead guilty to the charge without appearing before the Magistrate, to transmit before the aforesaid date the plea of guilty in …………. writing and the sum of ………….. rupees as fine, or if you desire to appear by pleader and to plead guilty through such pleader, to authorise such pleader in writing to make such a plea of guilty on your behalf and to pay the fine through such pleader. Herein fail not.Dated, the …………………………….. the day of ………………………., 20(Seal of the Court)

(Signature)

Note :- The amount of fine specified in this summons shall not exceed one hundred rupees.

XXVII. – Notice of Commitment by Magistrate to Government Pleader

[See section 2(205-D)]

The Magistrate of …………………. hereby gives notice that he has [Committed] one for trial at the next Sessions; and the Magistrate hereby instructs the Government Pleader to conduct the prosecution of the said case.The charge against the accused is that, etc. (state the offence as in the charge).Dated this ……………………………. day of ………………………….., 20

(Signature.)

XXVIII. – Charges

[See sections 221, 222 and 223]

(I) – Charges with one Head

(a) I, (name and office of Magistrate, etc.), hereby charge you (name of accused person) as follows :(b) On Penal Code section 121. – That you, on Or about the ………….. day of ………. waged war against the Government of India or the Government and thereby committed an offence punishable under section 121 of the Ranbir Penal Code, and within the cognizance of the Court of Session.(c) And I hereby direct that you be tried by the said Court in the said charge.

(Signature and seal of the Magistrate)

[To be substituted for (b)] :-(2) On section 124. – That you, or about the ……………. day of ……….. at ………… with the intention of inducing the Hon’ble A, B, Minister of the Government, to refrain from exercising a lawful power as such Minister assaulted such Minister, and thereby committed an offence punishable under section 124 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(3) On section 161. – That you, being a public servant in the Department, directly accepted from (state the name), for another party (state the name), a gratification other than legal remuneration, as a motive for forbearing to do an official act, and thereby committed an offence punishable under section 161 of the Ranbir Penal Code, and within the cognizance of foe Court of Session (or High Court).(4) On section 166. – That you, on or about the ……………. day of …………… at, ………… did (or omitted to do, as the case may be) such conduct being contrary to the provisions of Act …………… section, ……………. and known by you to be prejudicial ……. to ………………. and thereby committed an offence punishable under section 166 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(5) On section 193. – That you, on or about the …………….. day of at ………………, in the course of trial of before …………………. stated in evidence that ”           ” which statement you either knew or believed to be false, or did not believe to be true, and thereby committed an offence punishable under section 193 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(6) On section 304. – That you, on or about the ………….. day of ………., at, …….. committed culpable homicide not amounting to murder, causing death , and thereby committed an offence punishable under section 304 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(7) On section 306. – That you, on or about the …………. day of ………, at ……., abetted the commission of suicide by A, B, a person in a state of intoxication, and thereby committed an offence punishable under section 306 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(8) On section 325. – That you, on or about the …………. day of …….., at ………, voluntarily caused grievous hurt to ……………., and thereby committed an offence punishable under section 325 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(9) On section 392. – That you, on or about the ………… day of ……….., at …………., robbed (state the name), and thereby committed an offence punishable under section 392 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(10) On section 395. – That you, on or about the ………….. day of ……., at …….., committed dacoity, an offence punishable under section 395 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(In cases tried by Magistrates substitute “within my cognizance” for within the cognizance of the “Court of Session,” and in (c) omit “by the said Court”.

(II). – Charges with two or more Heads

(a) I, (name and office of Magistrate, etc.) hereby charge you (name of accused person) as follows :-(b) On section 241 – First – That you, on or about the ………. day of …….., at ……….., knowing a coin to be counerfeit, delivered the same to another person, by name, A, B, as genuine, and thereby committed an offence punishable under section 241 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).Secondly. – That you, on or about the ………… day of ……………., at knowing a coin to be counterfeit attempted to induce another person, by name A, B, to receive it as genuine, and thereby committed an offence punishable under section 241 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(c) And I hereby direct that you be tried by the said Court on the said charge.

(Signature and seal of the Magistrate)

[To be substituted for (b)] :-(2) On sections 302 and 304. First. – That you, on or about the …….. day of ………., at ………… committed murder by causing the death of and thereby committed an offence punishable under section 302 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).Secondly. – That you, on or about the ………… day of ……………., at ………….., by causing the death of ………………., committed culpable homicide not amounting to murder, and thereby committed an offence punishable under section 304 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(3) On sections 379 and 382. First. – That you, on or about the ……….. day of …………, at ………….., committed theft, and thereby committed an offence punishable under section 379 of the Ranbir Penal Code, and within the cognizance of die Court of Session (or High Court).Secondly. – That you, on or about the ……….. day of …………….., at, committed theft, having made preparation for causing death to a person in order to the committing of such theft, and thereby committed an offence punishable under section 382 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).Thirdly. – That you, on or about the ………. day of ……………, at, committed theft, having made preparation for causing restrain to a person in order to the effecting of your escape after the committing of such theft, and thereby committed an offence punishable under section 382 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).Fourthly. – That you, on or about the ……………. day of …………… at, ……… committed theft, having made preparation for causing fear of hurt to a person in order to the retaining of property taken by such theft, and thereby committed an offence punishable under section 382 of the Ranbir Penal Code, and within the cognizance of the Court of Session (or High Court).(4) Alternative charges on section 93. – That you, on or about the …………. day of ……… at ………., in the course of the inquiry into , before stated in evidence that ”               ” and that you, on or about the day of at, in the course of the trial of stated evidence that one of which statements you either knew or believed to be false, or did not believe to be true, and thereby committed an offence punishable under section 193 of the Ranbir Penal Code, and within the-cognizance of the Court of Session (or High Court). (In cases tried by Magistrates substitute “within my cognizance” for “within the cognizance of the Court of Session” and in (c) omit “by the said Court”]

(III). – Charge for Theft after Previous Conviction.

I, (name and office of Magistrate, etc.), hereby charge you (name of accused person) as follows:-That you, on or about the …………… day of ………….. at , committed theft, and thereby committed an offence punishable under section 379 of the Ranbir Penal Code, and within the cognizance of the Court of Session [or High Court/Magistrate as the case may be].And you, the said (name of accused), stand further charged that you, before the committing of the said offence, that is to say, on the day of , had been convicted by the (state Court by which conviction was had) at of an offence punishable under Chapter XVII of the Ranbir Penal Code with imprisonment for a term of three years, that is to say, the offence of housebreaking by night (describe the offence in the words used in the section under which the accused was convicted) ; which conviction is still in full force and effect, and that you are thereby liable to enhanced punishment under section 75 of the Ranbir Penal Code.And I hereby direct that you be tried, etc.

XXIX. – Warrant of Commitment on a Sentence of Imprisonment or Fine if Passed by a Magistrate

[See sections 245 and 258]

To the Superintendent (or Keeper of the Jail atWhereas on the ……………. day of ………….. 20 (name of prisoner), the (1st, 2nd, 3rd, as the case may be) prisoner in case No. ……………. of the Calendar for 20 …………., was convicted before me (name and official designation) of …………. the offence of, (mention the offence or offences concisely) under section (or sections) of the Ranbir Penal Code (or of Act), and was sentenced to (state the punishment fully and distinctly) ;This is to authorise and require you, the said Superintendent (or Keeper) to receive the said (prisoner’s name) into your custody in the said Jail, together with this warrant, and there carry the aforesaid sentence into execution according to law.Given under my hand and the seal of the Court, this day of           , 20(Seal)

(Signature)

XXX. – Warrant of Imprisonment on Failure to Recover Amends by Attachment and Sale

[See section 250]

To the Superintendent (or Keeper) of the Jail atWhereas (name and description) has brought against (name and description of the accused person) the complaint that (mention it concisely) and the same has been dismissed as false and frivolous (or vexatious) and the order of dismissal awards payment by the said (name of the complainant) of the sum of rupees …………… , as amends ; and whereas the said sum has not been paid and an order has been made for his simple imprisonment in Jail for the period of days, unless the aforesaid sum be sooner paid ;This is to authorise and require you, the said Superintendent (or Keeper), to receive the said (name) into your custody, together with his warrant, and him safely to keep in the said Jail for the said period of (term of imprisonment), subject to the provisions of section 69 of the Ranbir Penal Code, unless the I said sum be sooner paid, and on the receipt thereof, forthwith to set him at liberty, returning this warrant with an, endorsement certifying the manner of its executionGiven under my hand and the seal of the Court, this day of            , 20(Seal)

(Signature)

XXXL. – Summons to Witness

[See sections 68 and 252]

To                                                 ofWhereas complaint has been made before me that ………… of ……. has (or is suspected to have) committed the offence of (state the offence concisely with time and place), and it appears to me that you are likely to give material evidence for the prosecution;You are hereby summoned to appear before this Court on the ……….. day of ……….. next at 10 o’clock in the forenoon, to testify what you know concerning the matter of the said complaint, and not to depart thence without leave of the Court; and you are hereby warned that, if you shall without just excuse neglect or refuse to appear on the said date, a warrant will be issued to compel your attendance.Given under my hand and the seal of the Court, this                 day of                 20(Seal)

(Signature).

[XXXII and XXXIII] Omitted.

XXXIV. – Warrant of Commitment Under Sentence of Death

[See section 374]

To the Superintendent (or Keeper) of the Jail atWhereas at the Session held before me on the ………… day of ……. 20, (name of the prisoner), the (1st, 2nd, 3rd, as the case may be) prisoner, in case No. …………… of the Calendar at the said Session, was duly convicted of the offence of culpable homicide amounting to murder under section ………… of the Ranbir Penal Code, and sentenced to suffer death, subject to the confirmation of the said sentence by the Court ofThis, is to authorise and require you, the said Superintendent (or, Keeper), to ‘receive the said (prisoner’s name) into your custody, in the said Jail, together, with this warrant, and him there safely to keep until you shall receive the further warrant or order of this Court, carrying into effect the order of the said Court.Given under my hand and the seal of the Court, this day of             , 20(Seal)

(Signature)

XXXV. – Warrant of Execution on a Sentence of Death

[See section 381]

To the Superintendent (or Keeper) of the Jail atWhereas (name of prisoner), the (1st, 2nd, 3rd, as the case may be) prisoner in case No. ……………. of the Calendar at the Session held before me on the day of …………. 20, has been by a warrant of this Court, dated the day of committed to your custody under sentence of death ; and whereas the order of the ………. Court of ………. confirming the said sentence has been received by this Court ;This is to authorise and require you, the said Superintendent (or Keeper), to carry the said sentence into execution by causing the said …………… to be hanged by the neck until he be dead, at (time and place of execution), and to return this warrant to the Court with a endorsement certifying that the sentence has been executed.Given under my hand and the seal of the Court, this                 day of            , 20(Seal).

(Signature).

XXXVI. – Warrant After a Commutation of Sentence

[See sections 381 and 382]

To the Superintendent (or Keeper) of the Jail atWhereas at a Session held on the …………….. day of …………..,20, (name of prisoner), the (1st, 2nd, 3rd, as the case may be) prisoner in case No. of the Calendar at the said Session, was convicted of the offence of …………… punishable under section ………… of the Ranbir Penal Code, and sentenced to …………. and was thereupon committed to your custody ; and whereas by the order of the Court of (a duplicate of which is hereunto annexed) the punishment adjudged by the said sentence has been commuted to the punishment of imprisonment for life (or as the case may be) ;This is to authorise and require you the said Superintendent (or Keeper), safely to keep the said (prisoner’s name) in your custody in the said Jail, as by law is required, until he shall be delivered over by you to the proper authority and custody for the purpose of his undergoing the punishment of imprisonment for life under the said order,

or

if the mitigated sentence is one of imprisonment, say, after the words “custody in the said Jail”, “and thereto carry into execution the punishment of imprisonment under the said order according to law”.Given under my hand and the seal of the Court, this                 day of            , 20(Seal)

(Signature)

XXXVII. – Warrant to Levy a Fine by Attachment and Sale

[See section 386(1) (a)]

To the (name and designation of the police officer or other person or persons who is or are to execute the warrant).Whereas (name and description of the offender) was on the …………. day of ……….. 20 ……, convicted before me of the offence of (mention the offence concisely) and sentenced to pay a fine of rupees ;and whereas, the said (name), although required to pay the said fine, has not paid the same or any part thereof ;This is to authorise and require you to attach any movable property belonging to the said (name) which may be found within the district of ; and, if within (state the number of days or hours allowed) next after such attachment the said sum shall not be paid (or forthwith), to sell the movable property attached, or so much thereof as shall be sufficient to satisfy the said fine, returning this warrant, with an endorsement certifying what you have done under it, immediately upon its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

XXXVII-A. – Bond for Appearance of Offender Released Pending Realisation of Fine

[See section 388]

Whereas I, (name), inhabitant of (place), have been sentenced to pay a fine of rupees ………….. and in default of payment thereof to undergo imprisonment for …………; and whereas the Court has been pleased to order my release on condition of my executing a bond for my appearance on the following date (or dates), namely :-I hereby bind myself to appear before the Court of at ………….. o’clock on the following date (or dates), namely :-and in case of making default herein, I bind myself to forfeit to the Government-the sum of rupeesDated this …………………………………… day of ………………………. 20

(Signature).

Where a bond with sureties to be executed, add-We do hereby declare ourselves sureties for the above named ……………… that he will appear before the Court of ……………. on the following date (or dates) namely :-and, in case of his making default therein, we bind ourselves jointly and severally to forfeit to the Government the sum of rupees

(Signature)

XXXVIII – Warrant of Commitment in Certain Cases of Contempt When a Fine is Imposed

[See section 480]

To the Superintendent (or Keeper) of the Jail atWhereas at a Court held on before me on this day (name and description of the offender) in the presence (or view) of the Court committed wilful contempt ;And Whereas for such contempt the said (name of the offender) has been adjudged by the Court to pay a fine of rupees , or in default to suffer simple imprisonment for the space of state the number of months or days ;This is to authorise and require, you, the Superintendent (or Keeper) of the said Jail, to receive the said (name of offender) into your custody, together with this warrant, and him safely to keep in the said Jail for the said period of (paid of imprisonment), unless the said fine be sooner paid; and, on the receipt thereof, forthwith to set him at liberty, returning this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

XXXIX. – Magistrates or Judges Warrant of Commitment of Witness Refusing Answer

[See section 485]

To (name and description of officer of Court)Whereas (name and description), being summoned (or brought before this Court) as a witness this day required to give evidence on an inquiry into an alleged offence, refused to answer a certain question (or certain questions) put to him touching the said alleged offence, and duly recorded, without alleging any just excuse for such refusal, and for his contempt has been adjudged detention in custody for (term of detention adjudged).This is to authorise and require you to take the said (name) into custody, and him safely to keep in your custody for the space of days, unless in the meantime he shall consent to be examined and to answer the questions asked of him, and on the last of the said days, or forthwith on such consent being known, to bring him before this Court to be dealt with according to law, returning this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

XL. – Warrant of Imprisonment on Failure to Pay Maintenance

[See section 488]

To the Superintendent (or Keeper) of the Jail atWhereas (name, description and address) has been proved before me to be possessed of sufficient means to maintain his wife (name), [or his child (name), who is by reason of (state the reason) unable to maintain herself (or himself)] and to have neglected (or refused) to do so and an order has been duly made requiring the said (name) to allow to his said wife (or child) for maintenance the monthly sum of rupees …………………….; and whereas it has been further proved that the said (name) in wilful disregard of the said order has failed to pay rupees …………….., being the amount of the allowance for the month (or months) of …………….; And there upon an order was made adjudging him to undergo simple or rigorous imprisonment in the said Jail for the period ofThis is to authorise and require you, the said Superintendent (or Keeper), to receive the said (name) into your custody in the said Jail, together with this warrant, and there carry the said order into execution according to law, returning this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

XLI. – Warrant to Enforce the Payment of Maintenance by Attachment and Sale

[See section 488]

To (name and designation of the Police-officer or other person to execute the warrant).Whereas an order has been duly made requiring (name) to allow to his said wife (or child) for maintenance the monthly sum of rupees, and whereas the said, (name) in wilful disregard of the said order has failed to pay rupees being the amount of the allowance for the month (or months) of :This is to authorise and require you to attach any movable property belonging to the said (name) which may be found within the district of, and if within (state the number of days or hours allowed) next after such attachment the said sum shall not be paid (or forthwith), to sell the movable property attached, or so much thereof as shall be sufficient to satisfy the said sum, returning this warrant, with an endorsement certifying what you have done under it, immediately upon its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature).

XLII. – Bond, and Bail Bond on a Preliminary Inquiry Before a Magistrate

[See sections 496 and 499]

I, (name), of (place), being brought before the Magistrate of (as the case may be) charged with the offence of …………….., and required to give security for my attendance in his Court and at the Court of Session, if required, to bind myself to attend at the Court of the said Magistrate on every day of the preliminary inquiry into the said charge, and, should the case be sent for trial by the Court of Session, to be, and appear, before the said Court when called upon to answer the charge against me; and, in case of my making default herein, I bind myself to forfeit to the Government the sum of rupeesDated this ………………………………………….. day of ………………………, 20

(Signature)

I hereby declare myself (or We jointly and severally declare ourselves and each of us) surety (or sureties for the said (name) that he shall attend at the Court of ……………. on every day of the preliminary inquiry into the offence charged against him, and, should the case be sent for trial by the Court of Session, that he shall be, and appear, before the said Court to answer the charge against him, and, in case of his making default therein, I bind myself (or we bind ourselves) to forfeit to the Government the sum of rupeesDated this ………………………………………….. day of …………………….. ,20

(Signature)

XLIII. – Warrant to Discharge a Person Imprisoned on Failure to Give Security

[See section 500]

To the Superintendent (or Keeper) of the Jail at
(or other officer in whose custody the person is).Whereas (name and description of prisoner) was committed to your custody under warrant of this Court, dated the …………. day of …………., and has since with his surety (or sureties) duly executed a bond under section 499 of the Code of Criminal Procedure ;This is to authorise and require you forthwith to discharge the said (name) from your custody, unless he is liable to be detained for some other matter.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

XLIV. – Warrant of Attachment to Enforce a Bond

[See section 514]

To the Police officer incharge of the Police Station atWhereas (name, description and address of person) has failed to appear on (mention the occasion) pursuant to his recognizance, and has by such default forfeited to the Government the sum of rupees (the penalty in the bond) ; and whereas the said (name of person) has, on due notice to him, failed to pay the said sum or show any sufficient cause why payment should not be enforced against him ;This is to authorise and require you to attach any movable property of the said (name) that you may find within the district of by seizure and detention, and if the said amount be not paid within three days, to sell the property so attached or so much of it as may be sufficient to realise the amount aforesaid, and to make return of what you have done under this warrant immediately upon its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature).

XLV. – Notice To Surety On Breach Of Bond

[See section 514]

To                                                         ofWhereas …………………… day of ………………, 20 you became surety for (name) of (place) that he should appear before this Court on the …………. day of ………….. and bound yourself in default thereof to forfeit the sum of rupees …………… to the Government ; and whereas the said (name) has failed to appear before this Court and by reason of such default you have forfeited the aforesaid sum of rupees You are hereby required to pay the said penalty or show cause, within days from this date, why payment of the said sum should not be enforced against you.Given under my hand and the seal of the Court, this           day of           20(Seal)

(Signature)

XLVI. – Notice to Surety of Forfeiture for Bond of Good Behaviour

[See section 514]

To                                                         ofWhereas on the ……………. day of …………. 20 ……., you became surety by a bond for (name) of (place) that he would be of good behaviour for the period of …………. and bound yourself in default thereof to forfeit the sum of rupees ………. to the Government; and whereas the said (name) has been convicted of the offence of (mention the offence concisely) committed since you became such surety, whereby your surety bond has become forfeited ;You are hereby required to pay the said penalty of rupees or to show cause within days why it should not be paid.Given under my hand and the seal of the Court, this           day of         20(Seal)

(Signature)

XLVII. – Warrant of Attachment Against a Surety

[See section 514]

To                                                         ofWhereas, (name description and address) has bound himself as surety for the appearance of (mention the condition of the bond), and the said (name) has made default, and thereby forfeited to the Government the sum of rupees ………………. (the penalty in the bond) ;This is to authorise and require you to attach any movable property of the said (name) which you may find within the district of ……………., by seizure and detention ; and, if the said amount be not paid within three days, to sell the property so attached, or so much of it as it may be sufficient to realise the amount aforesaid, and make return of what you have done under this warrant, immediately upon its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

XLVIII. – Warrant of Commitment of the Surety of an Accused Person Admitted to Bail

[See section 514]

To the Superintendent (or Keeper) of the Civil Jail atWhereas (name and description of surety) has bound himself as a surety for the appearance of (state the condition of the bond) and the said (name) has therein made default whereby the penalty mentioned in the said bond has been forfeited to the Government ; and whereas the said (name of surety) has, on due notice to him, failed to pay the said sum or show any sufficient cause why payment should not be enforced against him, and the same cannot be recovered by attachment and sale of movable property of his, and an order has been made for his imprisonment in the Civil Jail for (specify the period) ;This is to authorise and require you, the said Superintendent (or Keeper), to receive the said (name) into your custody with this warrant and him safely to keep in the said Jail for the said (term of imprisonment), and to return this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

XLIX. – Notice to the Principal of Forfeiture of a Bond to Keep the Peace.

[See section 514]

To (name, description and address).Whereas on the, ………….. day of ………… 20 , you entered into a bond not to commit, etc. (as in the bond) ; and proof of the forfeiture of the same has been given before me and duly recorded ;You are hereby called upon to pay the said penalty of rupees ……….., or to show cause before me within ………. days why payment of the same should not be enforced against you.Dated this ……………………………………. day of ………………………., 20(Seal).

(Signature).

L. – Warrant to Attach the Property of the Principal on Breach of a Bond to Keep the Peace.

[See section 514]

To (name and description of Police officer), at the Police station ofWhereas (name and description) did, on the day of ………. 20 ………., enter into a bond for the sum of rupees ……………… binding himself not to commit a breach of the peace, (as in the bond), and proof of the forfeiture of the said bond has been given before me and duly recorded ; and whereas notice has been given to the said (name) calling upon him to show cause why the said sum should not be paid, and he has failed to do so or to pay the said sum;This is to authorise and require you to attach by seizure movable property belonging to the said (name) to the value of rupees ………………… which you may find within the district …………….. of and, if the said sum be not paid within ……………, to sell the property so attached, or so much of it as may be sufficient to realise the same; and to make return of what you have done under this warrant immediately upon its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

LI. – Warrant of Imprisonment on Breach of a Bond to Keep the Peace

[See section 514]

To the Superintendent (or Keeper) of the Civil Jail atWhereas proof has been given before me and duly recorded that (name and description) has committed a breach of the bond entered into by him to keep the peace, whereby he has forfeited to the Government the sum of rupees. …………….., and whereas the said (name) has failed to pay the said sum or to show cause why the said sum should not be paid, although duly called upon to do so, and payment thereof cannot be enforced by attachment of his movable property, and an order has been made for the imprisonment of the said (name) in the Civil Jail for the period of (term of imprisonment).This is to authorise and require you, the said Superintendent (or Keeper) of the said Civil Jail, to receive the said (name) into your custody, together with this warrant, and him safely to keep in the said Jail for the said period of (term of imprisonment), and to return this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

LII. – Warrant of Attachment and Sale on Forfeiture of Bond for Good Behaviour

[See section 514]

To the police officer incharge of the police station atWhereas (name, description and address) did on the ………….. day of ……………, 20 ……, give security by bond in the sum of rupees for the good behaviour of (name etc., of the principal), and proof has been given before me and duly recorded of the commission by the said (name) of the offence of …………….., whereby the said bond has been forfeited ; and whereas notice has been given to the said (name) calling upon him to show cause why the said sum should not be paid, and he has failed to do so or to pay the said sum ;This is to authorise and require you to attach by seizure movable property belonging to the said (name) to the value of rupees ………….., which you may find within the district of …………….., and, if the sum be not paid within ……………., to sell the property so attached, or so much of it as may be sufficient to realise the same, and to make return of what you have done under this warrant immediately upon, its execution.Given under my hand and the seal of the Court, this         day of         20(Seal)

(Signature)

LIII. – Warrant of Imprisonment on Forfeiture of Bond for Good Behaviour

[See section 514]

To the Superintendent (or Keeper) of the Civil Jail atWhereas (name, description and address) did, on the ……….. day of ………., 20 ……., give security by bond in the sum of rupees ………… for the good behaviour of (name, etc., of the principal), and proof of the breach of the said bond has been given before me and duly recorded, whereby the said (name) has forfeited to the Government the sum of rupees ……………, and whereas he has failed to pay the said sum or to show cause why the said sum should not be paid although duly called upon to do so, and payment thereof cannot be enforced by attachment of his movable property, and an order has been made for the imprisonment of the said (name) in the Civil Jail for the period of (term of imprisonment) ;This is to authorise and require you the Superintendent (or Keeper), to receive the said (name) into your custody, together with this warrant, and him safely to keep in the said Jail for the said period of (term of imprisonment), returning this warrant with an endorsement certifying the manner of its execution.Given under my hand and the seal of the Court, this day of 20(Seal).

(Signature)