The Superintendent shall report to the Chief Inspector the case of any person detained in a Certified Home, Special Home or Work House, as the case may be, who habitually and wilfully disobeys or neglects to comply with the provisions of Rule 12.
Form 'A' [See Rule 3(3)] Name No.
Address is permitted to solicit or receive money/food/gifts..............................for the purpose of .............................................................at the following places..........................................................within the following areas.......................................................during the period commencing on the............................................and ending on the the......................................................
subject to following conditions:
(i) This permit shall be carried by the holder when collecting alms and, on demand by any police officer, be produced for inspection. It shall not be transferable.
(ii) The collection shall be used only for the purpose mentioned above.
(iii) The manner of the collection shall be as under.
(iv) This permit shall be liable to cancellation for breach of any of its conditions.
Given under my hand and seal this................................................day of 200 Secretary to Government/District Magistrate.
Form 'B' [See Rule 6(2)] Form of Medical Examination Name (Full) Age.
No. Detained Sex Wt. Ht.
Identification marks General State of Health.
Fit for Work at Institution.
Remarks.
Date.
Signature of the Medical Officer.
Form C [See Rule 6(2)] Form of Medical Examination Name of the Receiving Centre.
Admission No.
(A) Name in full Married or Single Caste Age Sex Identification marks Date of admission in the Receiving Centre Weight Height.
General state of health, bodily condition and previous history for which kind of work if any, he/she is fit.
(B) Result of medical examination.
1. Eye.
2. Mouth.
3. Teeth.
4. Nose.
5. Throat.
6. Ear.
7. Heart.
8. Lungs.
9. Liver.
10. Spleen.
11. Skin.
12. Blood test, if any.
13. Mentality.
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