Singapore legislation
Schedule 2
Schedule 2
Forms
SECOND SCHEDULEForms FORM 1Section 42.SUMMONS TO AN ACCUSED PERSONTo of Whereas your attendance is necessary to answer to a charge of (state shortly the offence charged) you are hereby required to appear on the day of 19at in person before the Courtat Dated this day of 19 .(Signature) (Seal) FORM 2Sections 46 and 47.WARRANT OF ARRESTTo the Commissioner of Policeand all other Police Officers of Singapore. Whereas of stands charged with the offence of (state the offence) you are directed to arrest the said and to produce him before the Court at Dated this day at 19 .(Signature) (Seal) This warrant may be endorsed as follows: If the said shall give bail himself in the sum of dollars with one surety in the sum of dollars [or two sureties each in the sum of dollars], to attend before the Court on the day of 19at and to continue to attend as thereafter directed by a Court, he may be released. Dated this day of 19 .(Signature) (Seal) FORM 3Section 355.BOND AND BAIL BOND AFTER ARREST OR SUMMONS I (name)of (address)being charged with (state the offence (s) charged)do hereby bind myself to attend at the Court on the day of 19 at to answer to the said charge(s)and thereafter to attend as may be directed by a court until all proceedings relating to the said charge(s) shall have been finally disposed of and in case of my making default herein I bind myself to forfeit to the Government the sum of dollars *which I have deposited *or which has been deposited on my behalf by (name)of (address)and which the said (name) has acknowledged shall be forfeited in case of my making default herein.(Signature) *Delete where inapplicable. I (name)of (address)hereby acknowledge that the sum ofdollars deposited by me was deposited on behalf of the abovenamed (name)and that in the case of his making default the said sum of dollars shall as above provided be forfeited to the Government.(Signature) (name)of (address)and (name)of (address)do herebydeclare of the abovenamed (name)of (address)that he shall attend before the said Court at on the day of 19 and thereafter as may be directed by a court until all proceedings relating to the said charge(s) shall have been disposed of and in case of his making default therein hereby bind jointly and severally to forfeit to the Government the sum of dollars.(Signature (s)) Dated this day of 19 .Acknowledged before me Interpreted, read over and explained by *Delete where inapplicable. FORM 4Section 51.PROCLAMATION REQUIRING THE APPEARANCE OF A PERSON ACCUSED Whereas complaint has been made before me that (name, description and address) has committed [or is suspected to have committed] the offence of (state the offence) punishable under section of 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 as the case may be]: Proclamation is hereby made that the said of is required to appear before the Court at between 10 a.m. and 4 p.m. on any week-day or between 10 a.m. and 12.30 p.m. on any Saturday to answer the said complaint within days from this date. Dated this day of 19 . (Seal) FORM 5Section 51.PROCLAMATION REQUIRING THE ATTENDANCE OF A WITNESS 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 the Court at 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 before the Court at Singapore on the day of next at to be examined touching the offence complained of. Dated this day of 19 .(Signature) (Seal) FORM 6Section 52.ORDER OF ATTACHMENT TO COMPEL THE ATTENDANCE OF A WITNESSTo the Police Officer in charge of the Police Station. Whereas 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 the satisfaction of the Court that he has absconded [or is concealing himself to avoid the service of the said warrant]; and thereupon a Proclamation was duly issued and published requiring the said (name) to appear and give evidence at the time and place mentioned therein, and he has failed to appear: This is to authorise and require you to attach by seizure, the movable property belonging to the said (name) to the value of dollars and to hold the said property under attachment pending the further order of this Court, and to return this warrant with an indorsement certifying the manner of its execution. Dated this day of 19 .(Signature) (Seal) FORM 7Section 54.WARRANT IN THE FIRST INSTANCE TO BRING UP A WITNESSTo the Commissioner of Police and all other Police Officers of Singapore. Whereas complaint has been made before me that (name of accused) of has [or is suspected to have] committed the offence of (state the offence) and it appears likely that (name and description of witness) can give evidence concerning the said complaint; and whereas the Court has 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 of witness) and on the day of next to bring him before the Court at at to be examined touching the offence complained of. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 8Section 61.WARRANT TO SEARCH AFTER INFORMATION OF A PARTICULAR OFFENCETo the Commissioner of Police and (other Police Officers to be designated by name). 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 the articles specified in the Schedule below 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 said articles specified in the Schedule below in the (describe the house or part thereof, to which the search is to be confined), and, if found, to produce the same forthwith before the Court at returning this warrant with an indorsement certifying what you have done under it, immediately upon its execution. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 9Section 62.WARRANT TO SEARCH PLACE SUSPECTED OF BEING USED FOR DEPOSIT OR SALE OR MANUFACTURE OR CONCEALMENT OF STOLEN PROPERTY, FORGED DOCUMENTS, COUNTERFEIT COINS, ETC.To the Commissioner of Police and to Whereas I have received information and on due inquiry thereupon had I have been led to believe that This is to authorise and require you to enter the said 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 and to seize and take possession of any and forthwith to bring them before a Magistrate’s Court or to guard them on the spot until the offender is taken before a Magistrate’s Court or otherwise to dispose thereof in some place of safety; also to take into custody and carry before a Magistrate’s Court every person found in the said who appears to have been privy to the returning this warrant immediately upon its execution with an indorsement certifying what you have done thereunder. This warrant shall remain in force for days. Given under my hand and the seal of the Court this day of 19 . No. (Seal)Magistrate Clerk FORM 10Section 71.BOND TO KEEP THE PEACE Whereas I (name), inhabitant of (place), have been called upon to enter into a bond to keep the peace for the term of (state the period), 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; and, in case of my making default therein, I hereby bind myself to forfeit to the Government the sum of dollars. Dated this day of 19 .(Signature) FORM 11Sections 74 and 75.BOND FOR GOOD BEHAVIOUR Whereas I (name), inhabitant of (place), have been called upon to enter into a bond to be of good behaviour for the term of (state the period), I hereby bind myself to be of good behaviour during the said term; and, in case of my making default therein, I bind myself to forfeit to the Government the sum dollars. Dated this day of 19 .(Signature) (Where a bond with sureties is to be executed add):We do hereby declare ourselves sureties for the abovenamed that he will be of good behaviour during the said term; and in case of his making default therein, we bind ourselves jointly and severally, to forfeit to the Government the sum of dollars. Dated this day of 19 .(Signature) FORM 12Section 76.ORDER TO SHOW CAUSE Whereas information has been received by this Court at the Court House at that (here set out the substance of the information received). It is hereby ordered that do attend this Court on the day of 19 at to show cause why he should not be ordered to execute a bond for his good behaviour in the sum of dollars to be in force for the term of months with sufficient sureties being (here state number, character and class of sureties required). Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 13Section 78.SUMMONS ON INFORMATION OF A PROBABLE BREACH OF THE PEACETo of Whereas 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 an advocate] at the Court at on the day of 19 at to show cause why you should not be required to enter into a bond for dollars [when sureties are required, add: and also to give security by the bond of one (or two, as the case may be) surety (or sureties) in the sum of dollars (each, if more than one)], that you will keep the peace for the term of (state the period). Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 14Section 87.WARRANT OF COMMITMENT ON FAILURE TO FIND SECURITY TO KEEP THE PEACETo the Director of Prisons. Whereas (name and address) appeared before me in person [or by his advocate] on the day of in obedience to a summons calling upon him to show cause why he should not enter into a bond for dollars with one surety [or a bond with two sureties each in dollars], that he the said (name) would keep the peace for the period of (state the period), 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 officer to receive the said (name) into your custody, together with this warrant, and him safely to keep in prison for the said period of (term of imprisonment) unless he shall in the meantime comply with the said order by himself and his surety [or sureties] entering into the said bond, in which case the same shall be received, and the said (name) released; and to return this warrant with an indorsement certifying the manner of its execution. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 15Section 87.WARRANT OF COMMITMENT ON FAILURE TO FIND SECURITY FOR GOOD BEHAVIOURTo the Director of Prisons. Whereas it has been made to appear to me that (name and description) has been and is lurking within Singapore 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 dollars, and the said surety [or each of the sureties] for dollars, 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 officer to receive the said (name) into your custody, together with this warrant, and him safely to keep in prison for the said period of (term of imprisonment), unless he shall in the meantime comply with the said order by himself and his surety [or sureties] entering into the said bond, in which case the same shall be received and the said (name) released; and to return this warrant with an indorsement certifying the manner of its execution. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 16Sections 87 and 88.WARRANT TO DISCHARGE A PERSON IMPRISONED ON FAILURE TO GIVE SECURITYTo the Director of Prisons (or other officer in whose custody the person is). Whereas (name and description of prisoner) was committed to your custody under the warrant of this Court, dated the day of , and has since duly given security under section of the Criminal Procedure Codeorand 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 19 .(Signature) (Seal) FORM 17Section 97.ORDER FOR THE REMOVAL OF NUISANCESTo (name, description and address). Whereas it has been made to appear to this Court 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 [or nuisance] still exists:or Whereas it has been made to appear to this Court 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 this Court that you are the owner [or are in possession of or have the control over] a certain tank [or well or excavation] adjacent to the 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]: Whereas, etc., etc. (as the case may be): You are hereby directed and required 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 You are hereby directed and required 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 You are hereby directed and required 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 You are hereby directed and required, etc., etc. (as the case may be). Given under my hand and the seal of the Court, this day of 19 .(Signature) District Judge (Seal) FORM 18Section 102.NOTICE AND PEREMPTORY ORDER BY DISTRICT COURT AFTER ORDER ABSOLUTETo (name, description and address). Notice is hereby given that an order absolute has been made against you requiring you (state substantially the requisition in the order), and you are hereby directed and required to obey the said order within (state time allowed) on peril of the penalty provided by section 188 of the Penal Code for disobedience thereto. Given under my hand and the seal of the Court, this day of 19 .(Signature) District Judge (Seal) FORM 19Section 104.INJUNCTION TO PROVIDE AGAINST IMMINENT DANGER PENDING DECISIONTo (name, description and address). Whereas a conditional order was made by this Court on the of 19 requiring you (here state substantially the requisition in the order), and it has been made to appear to this Court that the nuisance mentioned in the said order is attended with so imminent serious danger to the public as to render necessary immediate measures to prevent such danger, you are hereby, under section 104 of the Criminal Procedure Code directed and enjoined forthwith to (state plainly what is required to be done as a temporary safeguard) pending the final decision of the case. Given under my hand and the seal of the Court, this day of 19 .(Signature) District Judge (Seal) FORM 20Section 105.ORDER OF DISTRICT COURT PROHIBITING THE REPETITION, ETC., OF NUISANCETo (name, description and address). Whereas it has been made to appear to this Court that, etc. (state the proper recital, guided by Form 17 or Form 21 as the case may be): You are hereby ordered and enjoined 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 19 .(Signature) District Judge (Seal) FORM 21Section 106.ORDER OF MAGISTRATE’S COURT TO PREVENT OBSTRUCTION, RIOT, ETCTo (name, description and address). Whereas it has been made to appear to this Court 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 this Court 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 the procession is likely to lead to a riot or an affray:or Whereas etc., etc. (as the case may be): You are hereby ordered not to place or permit to be placed any of the earth or stones dug from your land in any part of the said road:or The procession passing along the said street is hereby prohibited, and you are warned and enjoined 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 19 .(Signature) Magistrate (Seal) FORM 22Section 107.ORDER OF DISTRICT COURT DECLARING PARTY ENTITLED TO RETAIN POSSESSION OF LAND OR WATER IN DISPUTE Whereas it appearing to the Magistrate’s Court 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 at (state situation of subject of dispute), the said parties were called upon to give into this Court a written statement of their respective claims as to the fact of actual possession of the said (the subject of dispute), and this Court being satisfied by due inquiry had thereupon, without reference to the merits of the 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: It is hereby decided and declared 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 any disturbance of his [or their] possession in the meantime is forbidden. Given under my hand and the seal of the Court, this day of 19 .(Signature) District Judge (Seal) FORM 23Section 108.WARRANT OF ATTACHMENT IN THE CASE OF A DISPUTE AS TO THE POSSESSION OF LAND, ETC.To the Police Officer in charge of the Police Station at [or, To the Collector of Land Revenue]. Whereas it having been made to appear to the Court at 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 at , the said parties were thereupon duly called upon to state to this Court in writing their respective claims as to the fact of actual possession of the said (the subject of dispute); and whereas, upon due inquiry made into the said claims, this Court has decided that neither of the said parties was in possession of the said (the subject of dispute) [or this Court is unable to satisfy itself 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 a competent Court determining the rights of the parties, or the claim to possession, shall have been obtained; and to return this warrant with an indorsement certifying the manner of its execution. Given under my hand and the seal of the Court, this day of 19 .(Signature) District Judge (Seal) FORM 24Section 109.ORDER OF DISTRICT COURT PROHIBITING THE DOING OF ANYTHING ON LAND OR WATER A dispute having arisen concerning the right of use of (state concisely the subject of dispute) situate at possession of which land [or water] is claimed exclusively by (describe the person or persons), and it appearing to this Court on due inquiry into the same, that the said 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 3 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]: It is hereby ordered that the said (the claimant or claimants of possession) or any one 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 19 .(Signature) District Judge (Seal) FORM 25Section 126.BOND TO PROSECUTE OR GIVE EVIDENCE I (name), of (place), do hereby bind myself to attend at the Court at , at on the day of next, and then and there to give evidence in the matter of a charge of against one A, B., and, in case of my making default herein, I bind myself to forfeit to the Government the sum dollars. Dated this day of 19 .(Signature) **** FORM 27Sections 158 and 160.CHARGES(I).—CHARGES WITH ONE HEAD (1) That you, on or about the day of , at , waged war against the Government, and thereby committed an offence punishable under section 121 of the Penal Code.On Penal Code, section 121. (2) That you, on or about the day of , at , with the intention of inducing the Hon’ble Mr. B., Member of Parliament, to refrain from exercising a lawful power as such Member, assaulted such Member, and thereby committed an offence punishable under section 124 of the Penal Code.On section 124. (3) That you, being a public servant in the Department, directly accepted from (state name), for another party (state name), a gratification (stating it), 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 Penal Code.On section 161. (4) That you, being a public servant, on or about the day of knowingly did [or omitted to do (as the case may be)] (state act or omission) such conduct being contrary to intending to cause or knowing you were thereby likely to cause injury to by such act or omission and thereby committed an offence punishable under section 166 of the Penal Code.On section 166. (5) That you, on or about the day of , at , in the course of the trial of , before , intentionally gave false evidence by stating 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 Penal Code.On section 193. (6) That you, on or about the day of , at , committed culpable homicide not amounting to murder, by causing the death of , and thereby committed an offence punishable under section 304 of the Penal Code.On section 304. (7) That you, on or about the day of , at , caused the death of by doing a rash (or negligent) act not amounting to culpable homicide and thereby committed an offence punishable under section 304A of the Penal Code.On section 304A. (8) 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 305 of the Penal Code.On section 305. (9) That you, on or about the day of , at , voluntarily caused grievous hurt to (stating kind), and thereby committed an offence punishable under section 325 of the Penal Code.On section 325. (10) That you, on or about the day of , at , committed robbery of (state the thing) in the possession of (X.) and thereby committed an offence punishable under section 392 of the Penal Code.On section 392. (11) That you, on or about the day of , at , committed gang robbery of (state the thing) in the possession of (X.) and thereby committed an offence punishable under section 395 of the Penal Code.On section 395.(II).—CHARGES WITH TWO OR MORE HEADS (1) First.—That you, on or about the day of , at , knowing a coin to be counterfeit, delivered the coin to another person, by name A. B., as genuine, and thereby committed an offence punishable under section 241 of the Penal Code.On section 241. 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 Penal Code. (2) 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 Penal Code.On sections 302 and 304. 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 Penal Code. (3) First.—That you, on or about the day of , at , committed theft, of (state the thing) in the possession of (X.) and thereby committed an offence punishable under section 379 of the Penal Code.On sections 379 and 382. Secondly.—That you, on or about the day of , at , committed theft, of (state the thing) in the possession of (X.) having made preparation for causing death to (name) in order to the committing of such theft and thereby committed an offence punishable under section 382 of the Penal Code. Thirdly —That you, on or about the day of , at , committed theft, of (state the thing) in the possession of (X.) having made preparation for causing restraint to (name) 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 Penal Code. Fourthly.—That you, on or about the day of , at , committed theft, of (state the thing) in the possession of (X.) having made preparation for causing fear of hurt to (name) in order to the retaining of property taken by such theft, and thereby committed an offence punishable under section 382 of the Penal Code. (4) That you, on or about the day of at , in the course of the inquiry into before , intentionally stated in evidence that “ ,” and that you, on or about the day of , at , in the course of the trial of , before , intentionally stated in 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 Penal Code.Alternative charges on section 193.(III).—CHARGE FOR THEFT AFTER A PREVIOUS CONVICTION That you, on or about the day of , at , committed theft (state, etc.) and thereby committed an offence punishable under section 379 of the Penal Code. And further 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 Penal Code with imprisonment for a term of 3 years, that is to say, the offence of house-breaking by night (describe the offence in the words used in the section under which the accused was convicted) which conviction has not been set aside, and that you are thereby liable to enhanced punishment under section 75 of the Penal Code. FORM 28Section 179.FORMAL PART OF CHARGES TRIED BEFORE HIGH COURTA. B. (name and address, e.g. prisoner in the Prison at Singapore). You are charged at the instance of the Public Prosecutor and the charge against you is (here insert charges as in last preceding form).(Sd.) Public Prosecutor[Where charge signed by a Deputy Public Prosecutor add before signature “By authority of the Public Prosecutor”].List of Witnesses intended to be called against the accused.INDORSEMENT[19 ]HIGH COURT OF SINGAPORE[JANUARY]THE PUBLIC PROSECUTORagainstA.B.(State shortly charge, e.g., robbery and previous conviction). FORM 29Section 180.WARRANT OF COMMITMENT ON A SENTENCE OF IMPRISONMENT OR FINE IF PASSED BY A DISTRICT COURT OR MAGISTRATE’S COURTTo the Director of Prisons. Whereas on the day of 19 (name of prisoner), the (1st, 2nd, 3rd, as the case may be) prisoner in case No. at the Court at was convicted before this Court of the offence of (mention the offence or offences concisely) under section (or sections ) of the Penal Code [or of Act ], and was sentenced to (state the punishment fully and distinctly): This is to authorise and require you, the said officer, to receive the said (prisoner’s name) into your custody together with this warrant, and carry the aforesaid sentence into execution according to law. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 30Sections 42 and 180.SUMMONS TO A WITNESSToof Whereas 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 be able to give material evidence respecting the matter of such complaint: You are hereby summoned to appear before the Court at Singapore on the day of next at 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 19 .(Signature) (Seal)**** FORM 32Sections 402 and 403.WARRANT OF IMPRISONMENT ON FAILURE TO RECOVER AMENDS BY DISTRESSTo the Director of Prisons. Whereas (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 frivolous [or vexatious], and the order of dismissal awards payments by the said (name of complainant) of the sum of dollars as amends, and whereas the said sum has not been paid and cannot be recovered by distress of the movable property of the said (name of complainant) and an order has been made for his imprisonment for the period of days, unless the aforesaid sum be sooner paid: This is to authorise and require you, the said officer, to receive the said (name) into your custody, together with this warrant, and him safely to keep in prison for the said period of (term of imprisonment) subject to section 403 of the Criminal Procedure Code, unless the said sum be sooner paid and on the receipt thereof forthwith to set him at liberty; returning this warrant with an indorsement certifying the manner of its execution. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal)**** FORM 36Section 198.WARRANT OF REMANDTo the Director of Prisons. Whereas (hereinafter called the accused) was this day brought before this Court charged with having committed the offence of and it was necessary to remand the said accused. This is to authorise and require you the said officer to receive the said accused into your custody together with this warrant and him safely to keep in prison until day of when you shall cause him to be brought before the said Court at of the said day unless you shall be otherwise ordered in the meantime. Given under my hand and the seal of the Court, this day of 19 .(Signature) District Judge, Magistrate or Registrar (Seal) FORM 37Section 220.WARRANT OF COMMITMENT UNDER SENTENCE OF DEATHTo the Director of Prisons. Whereas at the Assizes held on the day of , 19 , (name of prisoner), the [1st, 2nd, 3rd (as the case may be)] prisoner in Case No. of the Calendar at the Assizes, was duly convicted of the offence of murder under section 302 of the Penal Code, and sentenced to suffer death: This is to authorise and require you, the said officer, to receive the said (prisoner’s name) into your custody, together with this warrant, and him there safely to keep until you shall receive the further warrant or order of this Court, or an order of the President thereon. Dated this day of 19 .(Signature) Registrar FORM 38Section 220.WARRANT OF EXECUTION ON A SENTENCE OF DEATHIN THE HIGH COURT OF SINGAPORETo the Director of Prisons. Whereas (name of prisoner), [1st, 2nd, 3rd (as the case may be)] prisoner in Case No. of the Calendar at the Assizes held in Singapore on the day of 19 . 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 President directing the said sentence to be carried into effect has been received by this Court: This is to authorise and require you, the said officer, 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 an endorsement certifying that the sentence has been executed. Given under my hand and the seal of the Court, this day of 19 .(Signature) Judge (Seal) FORM 39Section 221.CERTIFICATE OF SENTENCESIN THE HIGH COURT OF SINGAPORETo the Director of Prisons. This is to certify that the persons named in the Schedule hereto have been sentenced this day to the sentences respectively set opposite their names in the Schedule. Dated at Singapore, this day of 19 .(Signature) RegistrarTHE SCHEDULEName of PrisonerSentence FORM 40Section 224.WARRANT TO LEVY A FINE BY DISTRESS AND SALETo (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 19 convicted before me of the offence of (mention the offence concisely) and sentenced to pay a fine of dollars, 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 make distress by seizure of any property belonging to the said (name) ; and, if within (state the number of days or hours allowed) next after such distress the said sum shall not be paid (or forthwith), to sell the property distrained, 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 19 .(Signature) (Seal)**** FORM 42Section 247.PETITION OF APPEALIN THE HIGH COURT OF SINGAPORETo the Honourable the Justices of the High Court of Singapore. The petition of A.B.Showeth as follows: 1. *Your Petitioner the abovenamed A. B. was charged with (here describe the charge shortly) and convicted [or acquitted] at the Court held at on the day of 19 , and the following order was made thereon (here state shortly the substance of the judgment or sentence).* If the appeal is brought by the Public Prosecutor omit the words “Your Petitioner” in section 1. 2. Your Petitioner is dissatisfied with the said judgment on the grounds following: (Here state the particular grounds of appeal on which the appellant relies). 3. Your Petitioner prays that such judgment or sentence may be reversed or annulled or that such order may be made thereon as justice may require.(Signature) Appellant FORM 43Section 263.SPECIAL CASEIN THE HIGH COURT OF SINGAPORE Case stated by the undersigned under section 263 of the Criminal Procedure Code. At Court held at before the undersigned on the day of 19 , one G. H. the abovenamed was charged as follows: At the hearing of the said charge it was proved before me that (here set out so much of evidence and admitted facts of the case as is necessary to raise the question or questions of law intended to be submitted). It was thereupon contended on the part of the defendant [or complainant as the case may be]. (Here state the legal objection taken). But [or And] I being of opinion that (here state the ground on which the Court decided the case) held that (here state the decision and judgment of the Court). The question or the opinion of this Court is whether the said determination was correct in point of law and what should be done in the premises. Dated this day of 19 .(Signature) Magistrate (Seal) FORM 44Section 280.NOTICE TO CORONER BY DISTRICT JUDGE OR MAGISTRATE OF COMMITTAL FOR TRIAL, DISCHARGE, CONVICTION OR ACQUITTAL OF ACCUSED I hereby certify that I have this day (a) Committed for trial at the forthcoming Assizes one on a charge of under section of the Penal Code, in connection with the death of one who died on the day of 19 . (b) Discharged from custody one who was charged before me in connection with the death of one , who died on the day of 19 . (c) Convicted one who was charged before me under section of the Penal Code in connection with the death of one and have sentenced him to (d) Acquitted one who was charged before me under section of the Penal Code in connection with the death of one Given under my hand and the seal of the Court, this day of 19 . (Seal) FORM 45Section 280.NOTICE TO THE CORONER BY THE REGISTRAR OF THE SUPREME COURT OF THE CONVICTION OR ACQUITTAL OF ACCUSED I hereby certify that the High Court has this day, (a) Returned a verdict of guilty against one on a charge under section of the Penal Code, in connection with the death of one who died on the day of 19 ; and that, judgment having been entered accordingly, he has been sentenced by the Court to Notice of Appeal has/has not been given. (b) Returned a verdict of not guilty against one who was brought before them on a charge of under section of the Penal Code, in connection with the death of one who died on the day of 19 , and that he has accordingly been discharged from custody. Dated this day of 19 .Registrar FORM 46Section 280.NOTICE TO CORONER BY THE REGISTRAR OF THE SUPREME COURT OF JUDGMENT OF THE COURT OF CRIMINAL APPEAL I hereby certify that the appeal of one against his conviction at the Assizes on a charge of under section of the Penal Code, in connection with the death of one who died on the day of 19 has been heard by the Court of Criminal Appeal which made the following order thereon:and that the said has accordingly been returned to the Criminal Prison/released from custody. Dated this day of 19 .Registrar FORM 47Section 285.SUMMONS TO A WITNESS BY CORONER Whereas I am credibly informed that you can give evidence touching the death of now lying dead in . This is, therefore, by virtue of my office, to charge and command you personally to be and appear before me, at (state place) at on the day of next then and there to give evidence and be examined before me touching the premises. Given under my hand and the seal this day of 19 .(Signature) Coroner (Seal) FORM 48Section 285.CORONER’S WARRANT AGAINST A WITNESS FOR CONTEMPT OF SUMMONSTo the Commissioner of Police and all other Police Officers of Singapore. Whereas I have received credible information that of can give evidence touching the death of now lying dead in aforesaid: And Whereas the said (having been duly summoned to appear and to give evidence before me touching the premises, at the time and place in the said summons specified, of which oath has been duly made before me) has refused and neglected to do so: This is, therefore, by virtue of my office, to charge and command you or one of you, without delay to apprehend and bring before me , Coroner for the said now sitting at aforesaid by virtue of my said office, the said that he may be dealt with according to law: and for so doing this is your warrant. Given under my hand and the seal this day of 19 .(Signature) Coroner (Seal) FORM 49Section 285.WARRANT OF CORONER AGAINST A WITNESS FOR AVOIDING SERVICE OF A SUMMONSTo the Commissioner of Police and all other Police Officers of Singapore. Whereas it has been made to appear by evidence on oath before me that of can give material evidence touching the death of now lying dead in the district aforesaid, and that the said has absconded or will not obey a summons to attend and give evidence before me touching the premises: This is, therefore, by virtue of my office, to charge and command you or one of you, without delay to apprehend and bring before me , Coroner for the said now sitting at aforesaid by virtue of my said office, the said that he may be dealt with according to law: and for so doing this is your warrant. Given under my hand and the seal this day of 19(Signature) Coroner (Seal) FORM 50Section 285.CORONER’S WARRANT TO ARRESTTo the Commissioner of Police and all other Police Officers of Singapore and to the Director of Prisons. Whereas at proceedings taken before me, Coroner for the of , under the provisions of the Criminal Procedure Code, with respect to the death of and duly taken and held this day of , 19 , at , it appears to me that sufficient grounds are disclosed for charging of with the offence of , an offence punishable under section of the Penal Code: This is by virtue of my office to direct and authorise you or one of you forthwith to take and safely convey the said to the Prison of and safely deliver him to the officer in charge of the said Prison: and I do hereby by virtue of my office require you the said officer in charge to receive the said into your custody and him safely keep in the said Prison until he shall be brought before a Magistrate’s Court to be prosecuted for the said offence according to law on the day of or on such other day not being more than 7 days thereafter as may be directed by the Court before whom he is charged or until he shall earlier be then discharged by due course of law: and for your so doing this is your warrant. Given under my hand and the seal this day of 19 .(Signature)Coroner (Seal) FORM 51Section 293.CORONER’S CERTIFICATE A I hereby certify that on the day of , 19 , I held an inquiry at . in the district of and that I am of opinion that there is ground for suspecting that some person is guilty of the offence of in respect of the matter inquired into but I have been unable to ascertain who such person is. The names of the persons last seen in the company of the deceased are — The suspicious circumstances that have led me to form the opinion expressed above are —
(Signature) Coroner FORM 52Section 299.CORONER’S CERTIFICATE B I hereby certify that on the . day of , 19 , and subsequent dates I held an inquiry at in the district of and that the following particulars were then disclosed:1.Name of deceased.2.Nationality, sex, age, height, colour of hair, clothing and other means of identity.3.Residence and occupation.4.Where found and when, and under what circumstances.5.Date of death.6.Cause of death.7.Finding. Note:—The following are the names, residences and callings of the witnesses examined: I have issued my Warrant for the apprehension of and I have committed the said to prison to be brought before a Magistrate’s Court for prosecution on a charge of .(Signature) Coroner FORM 53Section 320.WARRANT OF COMMITMENT IN CERTAIN CASES OF CONTEMPT WHEN A FINE IS IMPOSEDTo the Director of Prisons. Whereas at a Court holden 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 offender) has been adjudged by the Court to pay a fine of dollars, 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 to receive the said (name of offender) into your custody, together with this warrant, and him safely to keep in prison for the said period of (term 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 19 .(Signature) (Seal) FORM 54Section 324.MAGISTRATE’S OR. JUDGE’S WARRANT OF COMMITMENT OF WITNESS REFUSING TO ANSWERTo the Director of Prisons. Whereas (name and description) being summoned [or brought before the Court] as a witness and this day required to give evidence or 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 this 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 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 no 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 19(Signature) (Seal)**** FORM 56Section 329.WARRANTIN THE HIGH COURT OF SINGAPORETo the Director of Prisons. You are hereby required to have the body of now a prisoner in the (name of prison) under safe and sure conduct before the High Court on the day of next by of the clock in the forenoon of the same day for the purpose of being bailed and unless the said shall then and there be bailed and by the said Court ordered to be released from custody cause him after the said Court shall have dispensed with his further attendance to be conveyed under safe and sure conduct back to the said Prison. Dated this day of 19 .Registrar (Seal) FORM 57Section 330.WARRANTIN THE HIGH COURT OF SINGAPORETo the Director of Prisons. You are hereby required to have the body of now a prisoner in the (name of prison) under safe and sure conduct before the officers assembled at a court martial at on the day of next by of the clock in the forenoon of the same day for the trial of the said [or there to give testimony in a certain trial now pending before the said court martial against ] (or as the case may be) and after the trial of the said [or after the said shall then and there have given his testimony before the said court martial or the said court martial shall have dispensed with his further attendance] cause him to be conveyed under safe and sure conduct back to the said (name of prison). Dated this day of 19 .Registrar (Seal) FORM 58Section 331.WARRANTIN THE HIGH COURT OF SINGAPORETo the Director of Prisons. You are hereby required to cause the body of now a prisoner in the (name of prison) to be conveyed under safe and sure conduct to the prison at and on or before the day of made over to the officer in charge of such prison to be by him there kept in intermediate custody for the purpose of trial before the High Court at its next sittings to be held at (name of place). Dated this day of 19 .Registrar (Seal) FORM 59Section 332.WARRANTIN THE HIGH COURT OF SINGAPORETo the Director of Prisons. You are hereby required to have the body of now a prisoner in the (name of prison) under safe and sure conduct before the High Court on the day of next by of the clock in the forenoon of the same day there to give testimony in a certain charge or prosecution now pending before the said Court against and after the said shall then and there have given his testimony before the said Court or the said Court shall have dispensed with his further attendance cause him to be conveyed under safe and sure conduct back to the said (name of prison). Dated this day of 19 .Registrar (Seal) FORM 60Sections 351 and 355.BOND AND BAIL BOND ON A PRELIMINARY INQUIRY BEFORE A MAGISTRATE’S COURT I (name), of (place), being in custody [or brought before the Magistrate’s Court, at ] charged with the offence of , and required to give security for my attendance in that Court and at the High Court if required, do bind myself to attend at the said Magistrate’s Court on every day of the preliminary inquiry into the said charge, and should the case be sent for trial by the High Court to be, and appear, before the High 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 dollars. Dated this day of 19 .(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 Magistrate’s Court at on every day of the preliminary inquiry into the offence charged against him and, should the case be sent for trial by the High Court that he shall be, and appear, before the High Court to answer the charge against him, and, in case of his making default therein, I bind myself [or we bind ourselves jointly and severally] to forfeit to the Government the sum of dollars. Dated this day of 19 .(Signature) FORM 61Section 356.WARRANT TO RELEASE A PERSON IMPRISONED ON FAILURE TO GIVE SECURITYTo the Director of Prisons. Whereas (name and description of prisoner) was committed to your custody under warrant of this Court, dated the day of 19 , and has since with his surety [or sureties] duly executed a bond under section 355 of the Criminal Procedure Code: This is to authorise and require you forthwith to release 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 19 .(Signature) (Seal). FORM 62Section 361.WARRANT OF ATTACHMENT TO ENFORCE A BONDTo Whereas (name, address and description 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 dollars (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 Singapore by seizure and detention, and, if the said amount be not paid within 3 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 19 .(Signature) (Seal) FORM 63Section 361.NOTICE TO SURETY ON BREACH OF A BONDToof Whereas on the day of 19 you became surety for (name) of (place) that he should appear before this Court at on the day of 19 , and bound yourself in default thereof to forfeit the sum of dollars 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 dollars; You are hereby required to pay the said penalty or to appear before this Court at on the day of 19 to show cause, 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 19 .(Signature) (Seal) FORM 64Section 361.NOTICE TO SURETY OF FORFEITURE OF BOND FOR GOOD BEHAVIOURToof Whereas on the day of , 19 , 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 dollars 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 security-bond has become forfeited: You are hereby required to pay the said penalty of dollars, or to appear before this Court at on the day of to show cause why it should not be paid. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 65Section 361.WARRANT OF ATTACHMENT AGAINST A SURETYTo Whereas (name, address and description) 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 dollars (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 by seizure and detention; and, if the said amount be not paid within 3 days, to sell the property so attached, or so much of it as 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 19 .(Signature) (Seal) FORM 66Section 361.WARRANT OF COMMITMENT OF THE SURETY OF AN ACCUSED PERSON ADMITTED TO BAILTo the Director of Prisons. Whereas (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 Prison for (specify the period): This is to authorise and require you, the said officer, to receive the said (name) into your custody with this warrant and him safely to keep in the said prison for the said (term of imprisonment), and to return this warrant with an indorsement certifying the manner of its execution. Given under my hand and the seal of the Court, this day of 19 .(Signature) (Seal) FORM 67Section 361.NOTICE TO THE PRINCIPAL OF FORFEITURE OF A BOND TO KEEP THE PEACETo (name, address and description). Whereas on the day of 19 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 dollars, or to appear before this Court on the day of 19 at to show cause why payment of the said sum should not be enforced against you. Dated this day of 19 .(Signature) Magistrate (Seal) FORM 68Section 361.WARRANT TO ATTACH THE PROPERTY OF THE PRINCIPAL ON BREACH OF A BOND TO KEEP THE PEACETo Whereas (name and description) did on the day of , 19 enter into a bond for the sum of dollars, binding himself not to commit a breach of the peace, etc. (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 the property belonging to the said (name) to the value of dollars which you may find 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 realize 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 19 .(Signature) Magistrate (Seal) FORM 69Section 361.WARRANT OF IMPRISONMENT ON BREACH OF A BOND TO KEEP THE PEACETo the Director of Prisons. Whereas 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 dollars; 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 Prison for the period of (term of imprisonment): This is to authorise and require you, the said officer of the said Civil Prison to receive the said (name) into your custody, together with this warrant, and him safely to keep in the said prison for the said period (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 19 .(Signature) Magistrate (Seal) FORM 70Section 361.WARRANT OF ATTACHMENT AND SALE ON FORFEITURE OF BOND FOR GOOD BEHAVIOURTo Whereas (name, address and description) did on the day of 19 give security by bond in the sum of dollars 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 the property belonging to the said (name) to the value of dollars which you may find, 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 19 .(Signature) Magistrate (Seal) FORM 71Section 361.WARRANT OF IMPRISONMENT ON FORFEITURE OF BOND FOR GOOD BEHAVIOURTo the Director of Prisons. Whereas (name, address and description) did on the day of 19 give security by bond in the sum of dollars 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 dollars; 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 property, and an order has been made for the imprisonment of the said (name) in the Civil Prison for the period of (term of imprisonment): This is to authorise and require you, the said officer, to receive the said (name) into your custody, together with this warrant, and him safely to keep in the said Prison for the said period (term of imprisonment); returning this warrant with an indorsement certifying the manner of its execution. Given under my hand and the seal of the Court, this day of 19 .(Signature) Magistrate (Seal)