70
APPENDIX II-A.
PLAGUE PASSPORT,
[See llule 2 on page 5.]
l Th P originals and triplicates to be printed on white printing paper and the duplicates on bartami paper. The
instructions and other entries betow the thick black line to be printed on the back of the duplicates only Care
ZidbeUHen to T that the dúdate containing ^«nsis ^^d to t^lde^e^ssp^.] _
3>
- |^liV- disírict - dstetion) -
í.a&ÍA^on. I: Sr oíperson í! n sS'
i« í. îfo^lnt vfisiflpnce-fEive district, taluk, village, street, and number órname of the owner of the house).
Ï' Smüon Ind restdenc^-during the next seven days (give district, t tatuk, village, street and number or
name of the owner of the house).
12
' ^^K^S^U^^^^lSS^to^lto be correct, andido hereby bind myself (a,
appear
f or inspection, daily, for the next seven days before the passport-examining
offlceTÄiÄ^
time beillg ' (6) tolie P°r t to the said officer before departure any change
my residence
.within the said period of seven days, and (c) to deliver to the said
iu thSTisidence of the above-mentioned person
offiS Sassport on the expiry of the saul penod.
^^ ^ ^ ^ ^^ •
Dette
person in charge of him.
Declared and signed before me.
Signature and designation of officer issuing the passport,
ate
* May be omitted when clearly not required for identification,
t Por village in Malabar, give the raines of amsam and desam.
Date,
Signature.
lat day
2nd „
3rd „
4th „
5th „
6th „
7th „
tahsildar
Awarded to the deputy tahsildiu;„ {
municipal chairman
the traveller having beim duly observed.
Signature and designation of
passport-examining officer
Date.
Station.
INSTRUCTIONS.
1. This passport should be prepared in triplicate. The original
should be retained for record, the duplicate delivered to the traveller,
and the triplicate sent without delay to the oilicer who has to examine
him for seven days. The full designation and address of this oilicer
should be entered under heading 12. One passport form should not be
used for more than one individual. Only persons coining from infected
or notified places can be required to take out passports.
2. The passport-issuing odicer should explain to the traveller or liis
guardian che terms of the passport and warn him that any breach of
his terms will entail prosecution and punishment with imprisonment
for a terra which may extend to six months or fine which may extend
o Us, 1,000 or both.
3. The passport-holder should, unless exempted by a written order
ndorsed on the passport, appear daily for seven days with his passport
before the passport-examining officer and obtain that officer's signature
on the margin of his passport in token of inspection.
4. By a passport-examining officer is meant any of the following
officers : —
(a) The local medical officer,
(o) The station-house officer,
(c) The headman of the village,
(d) The karnain of the village.
(e) Any person appointed by the Collector of the district for tlic
purpose.'
In places where there is more than one p
duties of the passport-examiner shall, unless t
directs, be performed by the officer who stands lirstin the order fiireii
in this clause. In the absence of the officer who ordinarily performs (lie 1
duties of the passport-examining oilicer, the person holding the passport
should appear before the officer who stands next to him in the order
given in this clause.
5. The passport-holder is not obliged to remain at a place for noven i
days by reason of his passport, but should he desire to change his
residence within that period, he should give due intimation to the
passport-examining officer and get the entries under headings 11 and
12 altered before departure. On the seventh day he should deliver liis
passport to the passport-examining officer.
C. The passport-examining officer should satisfy himself that the
person presenting the passport is the person described therein, lie
should ascertain from the traveller whether there is any sickness or
death in his house. If the traveller exhibits tiny symptoms of plague
or if any sickness or death is reported in his house or if he fails to
appear for inspection, the said officer should take immediate steps for
detaining him or for making the necessary inquiries as to the cause of
sickness, death or absence.
7. Eor further particulars, see city plague regulations when residing
in Madras or mufassal plague regulations when residing elsewhere.
8. Peons, lascars and trollymen in the employ of railways, when
upon duty of a nature that would cause inconvenience to thé railway
service if they hart to appear before the passport-examining officer oí
their place of residence, may present themselves for purposes oí
observation of their state of health before any Stationmaster who has
been appointed an honorary passport-examining officer. '
9. Telegraph employes in combined post and telegraph offices mW
present themselves for purposes of observation of their state of health
before the postmasters in charge of their offices.