Panchayat:Repo18/vol2-page0178

12. The provision contained in Rules 6 to 10 shall so far as may be, apply to re-vaccination of an unprotected person or child. Re-vaccination shall be performed five years after a primary vaccination (within three months period) and thereafter at interval of seven years (within three months).

13. Whoever commits a breach of any of the above rules shall be liable on Conviction

(a) to a fine which may extend to twenty rupees,

(b) in the case of continuing breach to a fine which may extend to five rupees for every day during which the breach continues after conviction or after receipt of notice from the Health Officer or Executive Authority or any person authorised by him to discontinue Such breach:

Provided that the amount of fine shall in no case exceed one hundred rupees

FORM No-I
Notice for Vaccination
[See Rules 3(iii) and ll(d)]
          Sri/Smt..............................  residing in .......... (House) Amsom................ Desom ................... Taluk.............. District................ is hereby informed that he/his son/daughter............................ aged ......................................................................................................... (in the case of minor children) shall appear be produced for inspection and shall be subject to vaccination/revaccination for protection against small-pox on .................... (date) at.............. (time) ................ at................... (place) failing which he shall be liable for punishment under the rules. 

Station : Signature..............

Date : Designation............


FORM No-II
Certificate of postponement of Vaccination
See Rule 6 (i)

The child/person............aged............ residing at........... is not in a fit state for vaccination for a period of........... months on account of

Station : Signature..............

Date : Designation............

In the case of child note name of parent or guardian of the child.

FORM No-III
Vaccination Certificate
See Rule 7(ii)

It is hereby certified that the child/person.........aged............. residing at ........ has been vaccinated/revaccinated On...........and bears............ marks.

Station : Signature..............

Date : Designation............


FORM No-IV
Notice for Inspection
See Rule 11 (i)
As it is known and there is every reason to believe that you/your son/your daughter aged.......residing in........ (House) Amsom ........ Desom .............. Taluk .......... District.......... require/requires protection from small-pox, you are therefore requested to produce/ to be present, in the house for inspection during my visit at......... (hours) on .......... (date). You will furnish such necessary information as to age, parentage, place of birth and the duration of the residence in the area etc., relating to you/your child. 

You will be subject to prosecution under the rules in case you fail to Comply with the notice.

Station : Signature..............

Date : Designation............

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