ANNEXURE

FORM MHCA 42

DEPARTMENT OF HEALTH

NOTICE OF DECISION OF HIGH COURT TO APPOINT AN ADMINISTRATOR OR TO TERMINATE THE APPOINTMENT OF AN ADMINISTRATOR

(Sections 61(3) and 64(3) of the Act)

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

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

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

Residential address:

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

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

Reasons for decision:

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

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

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

Continuance / termination of administratorship:

Having considered all the relevant facts relating to the termination of the administratorship of the property of the above User in terms of section 64(3) of the Act, I hereby order that:

The powers, functions and duties of the administrator of the above User's property shall henceforth be terminated / shall continue (delete which is not applicable)

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

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

                   (Judge in the High Court)

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

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

[Copy to appellant, applicant, head of relevant health establishment, head of provincial department and, in the case of a decision regarding termination of administratorship, the administrator]