ANNEXURE

FORM MHCA 43

DEPARTMENT OF HEALTH

NOTICE OF APPOINTMENT OF ADMINISTRATOR

(Section 62 of the Act)

I hereby appoint:

.................................................................

(name of administrator) to be the administrator of the property of

.................................................................................................................

(name of User)

Address of administrator: ...........................................................................

...................................................................................................................

...................................................................................................................

With the effect from: ..............................

(date)

As the administrator you will take care of, and administer the property of the above person and perform all acts incidental thereto and subject to any other law you will carry on the business or other undertakings of the person concerned.

You will continue to act as the administrator until your duties have been legally terminated.

Print initials and surname: .........................................................................................

Signature: ..................................................................................................................

                    (Master of High Court)

Date: ..........................................

Place: ..........................................................