ORDER FOR PLACEMENT OF A CHILD TO AN INSTITUTION

FORM XI
[Rule – 27 (19)]
ORDER FOR PLACEMENT OF A CHILD TO AN INSTITUTION
To
The Officer-in-Charge
__________________
__________________

                Whereas on the 16th  day of October 2012,  3 aged  ________ son /daughter  of _______________________________________________ residing at _____________________    being in care and protection under Section 31 / 33(4) of the Juvenile Justice ( Care and Protection Act , 2000 is ordered by the Child Welfare Committee __________________________ to kept in the Children Home /Shelter Home __________________________________________________________ ___

                This is authorize and require you to receive the said child in your charge , and to keep him/her in the Children’s Home/Shelter Home ____________________________________________________ for the aforesaid order to be carried into execution according to law.

Given under my hand and the seal of Child Welfare Committee.

This ______________ day of ____________________________ 20____.



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