of Imprisonment on Failure to Pay Maintenance
Section 125 of the Criminal Procedure Code)
the Officer in charge of the Jail at .................
(name, description and address) has been proved before me to be possessed of sufficient
means to maintain his wife (name) [or his child (name) or his father or mother
(name), who is by reason of (state the reason) unable to maintain herself (or
himself)] and to have neglected (or refused) to do so, and an order has been
duly made requiring the said (name) to allow to his said wife (or child or
father or mother) for maintenance the monthly sum of rupees; and whereas it has
been further proved that the said (name) in willful disregard to the said order
has failed to pay rupees, being the amount of the allowance for the month (or
thereupon an order was made adjudging him to undergo imprisonment in the said
Jail for the period of;
is to authorise and require you to receive the said (name) into your custody in
the said Jail, together with this warrant, and there carry the said order into
execution according to law, returning this warrant with an endorsement
certifying the manner of its execution.
this ............day of...........19.
of the Court)