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[接上页] 2. The applicant must have personally seen the mentally incapacitated person within 14 days of the date of the application. 3. A guardianship application should be forwarded to the Guardianship Board within 14 days of the mentally incapacitated person's last examination by a registered medical practitioner before furnishing a written report containing a medical opinion for the purposes of the application (see section 59R(4) of the Mental Health Ordinance). FORM 2 [section 8] REQUEST UNDER SECTION 59U(4) OF THE MENTAL HEALTH ORDINANCE (CAP 136) FOR REVIEW OF GUARDIANSHIP ORDER To: Guardianship Board Information on applicant Name: ........................................................................ Sex: (M/F) Relationship with the mentally incapacitated person: 1* self 2* guardian who is the Director of Social Welfare 3* guardian who is not the Director of Social Welfare 4* relative, please specify: ............................................................................................. 5* other, please specify: ................................................................................................Identity card no. (except in case 2 above): ............................................................................... Address (except in case 2 above): ........................................................................................... Information on mentally incapacitated person Name: ........................................................................ Sex: (M/F) Age: ...................... Identity card no.: ......................................................... Address: ................................................................................................................................ Information on guardian where the guardian is not the Director of Social Welfare Name: ........................................................................ Sex:(M/F) Age: ...................... Identity card no.: ......................................................... Address: ................................................................................................................................ Information on guardian who is a public officer acting on behalf of the Director of Social Welfare Name of public officer acting on behalf of the Director of Social Welfare as guardian: ............... .............................................................................................................................................. Address: ................................................................................................................................ Contact telephone no.: ............................................... Contact fax no.: ......................................................... Information on guardianship order Date on which order was made: .............................................................................................. Powers conferred on the guardian: .......................................................................................... .............................................................................................................................................. .............................................................................................................................................. Reasons for making the application .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. .............................................................................................................................................. Signature of the applicant ............................................ Date ............................................ * Delete as appropriate. FORM 3 [section 11] DIRECTIONS APPLICATION UNDER SECTION 59K(1)(d) OF THE MENTAL HEALTH ORDINANCE (CAP 136) To: Guardianship Board Information on applicant If the application is NOT made by the Director of Social Welfare- Name: ........................................................................ Sex: (M/F) Relationship with the mentally incapacitated person: 1* self 2* guardian |