In the Magistrate's Court for the District/Region of .............................................................held at ................................................ Case No. ........................................ of 20........

In the matter between

..................................................................................................................... Plaintiff

and

................................................................................................................. Defendant

To: ...........................................................................

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

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

Greeting:

Under and by virtue of the authority vested in me by section 53 of the Magistrates' Courts Act, 1944 (Act 32 of 1944), I do hereby commit to you full power and authority as a Commissioner of this court to examine ............................... of ............................. (and such other witnesses as either of the parties to this suit may desire to call) and to take the evidence on oath of the said witness(es) in the above suit now pending in this court.

Given under my hand at ....................................... this ..................... day of ............................., 20....

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

Magistrate