Mental Health Care Act, 2002 (Act No. 17 of 2002)

Regulations

Purchase

ANNEXURE

FORM MHCA 45

DEPARTMENT OF HEALTH

NOTICE OF APPEAL TO HIGH COURT JUDGE IN CHAMBERS REGARDING THE APPLICATION FOR THE TERMINATION OF THE TERM OF OFFICE

OF AN ADMINISTRATOR

(Section 64(5) of the Act)

Surname of User .....................................................................................................

First name(s) of User ................................................................................................

Date of birth ...................................or estimated age ....................

Gender:

Male

Female

Name of applicant: .......................................................................................................

Appeal made by: ...........................................................................................................

(print initials and surname)

who is a (delete where not applicable)

(a)	person in respect of whom an administrator was appointed;

(b)	the administrator;

(c)	person who made the application for the appointment of an administrator.

Grounds for appeal:

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

Facts on which the appeal is based:

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

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

(Appellant)

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

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

(Copy to Master of High Court)