Where the person signing the statement is not the person who signs the order, the following particulars concerning the person signing the statement are to be added; viz.:

Occupation (if any).

Place of abode.

Degree of relationship (if any), or other circumstances of connexion with the patient.

of

at

SCHEDULE (F.) No. 3.

FORM of Medical Certificate.

I, THE undersigned, [here set forth the qualification entitling the person certifying to practise as a physician, surgeon, or apothecary, ex. gra., "being a Fellow of the Royal "College of Physicians in London,"] and being in actual practice as a [physician, surgeon, or apothecary, as the case may be,] hereby certify, that I, on the day [here insert the street and number of the house (if any) or other like particulars,] in the county of , [in any case where more than one medical certificate is required by this Act, here insert separately from any other medical practitioner,] personally examined A.B., of residence and profession or occupation, if any,] and that the said A.B. is a [lunatic, or an idiot, or a person of unsound mind,] and a proper person to be taken charge of and detained under care and treatment, and that I have formed this opinion upon the following grounds; viz.:

1. Facts indicating insanity observed by myself [here state the facts].

, [insert

2. Other facts (if any) indicating insanity communicated to me by others [here state the information, and from whom].

day of

I HEREBY give you notice, that A.B. was admitted into this asylum as a private [or pauper] patient on the ; and I hereby transmit a copy of the order and statement and medical certificates [or certificate] on which he was received.

[If a private patient be received upon one certificate only, the special circumstances which have prevented the patient from being examined by two medical practitioners to be here stated, as in the statement accompanying the order for admission.] Subjoined is a statement with respect to the mental and bodily condition of the above-named patient.

I have this day [some day not less than two clear days after the admission of the patient seen and examined

the patient mentioned in the above notice,

1

from recovered, [or relieved, or not improved,] or was removed to [mentioning the asylum, &c.] relieved [or not improved], by the authority of therein in the presence of

,] on the
day of
(Signed)
Clerk of the

or died

asylum.

Dated the

day of

one thousand eight hundred and

In case of death, add, "I certify that the apparent cause of death of the said [as ascertained by post mortem examination (if so)] was

* In the case of an asylum receiving both private and pauper patients, a separate register in the above form to be kept for each class.

1853:

Observations.

* In the case of an asylum receiving both pauper and private patients, a separate journal to be kept in the above form for each class.

CHAPTER XCIX.

AN ACT to substitute, in certain Cases, other Punishment in lieu of Trans-
portation.
[20th August 1853.]

WHEREAS by reason of the difficulty of transporting offenders beyond

the seas it has become expedient to substitute, in certain cases, other punishment in lieu of transportation: Be it therefore enacted by the Queen's most excellent Majesty, by and with the advice and consent of the lords spiritual and temporal, and commons, in this present Parliament assembled, and by the authority of the same, as follows:

not to be for

I. AFTER the commencement of this Act no person shall be sentenced to trans- Sentence of portation who if this Act had not been passed would not have been liable to be transportation transported for life, or for a term of fourteen years or upwards; and no person shall be sentenced to transportation for any term less than fourteen years. [Rep., 20 & 21 Vict. c. 3.]

II. ANY person who, if this Act had not been passed, might have been sentenced to transportation for a term of less than fourteen years, shall be liable, at the discretion of the court, to be kept in penal servitude for such term as herein-after mentioned. [Rep., 20 & 21 Vict. c. 3.]

III. ANY person who, if this Act had not been passed, might have been sentenced to transportation for a term of fourteen years or upwards or for life, shall, after the commencement of this Act, be liable, at the discretion of the court, to be sentenced either to such transportation for fourteen years or upwards or for life, or to be kept in penal servitude for such term as under this Act may be awarded instead of such transportation. [Rep., 20 & 21 Vict. c. 3.]

less than
14 years.
Sentence of

penal servitude
instead of
transportation

for less than
14 years.
Persons liable
to transporta-
tion for 14
years, &c. may
be sentenced

either to trans-
portation, or
to penal ser-

vitude.

Pardons con

V. WHENEVER her Majesty, or the Lord Lieutenant, or other Chief Governor or Governors of Ireland for the time being, shall be pleased to extend mercy to ditional on any offender convicted of any offence for which he may be liable to the punish- penal servitude

for years, &c.