?21
10. When the triplicate of the passport sent and to whom.
I declare the above information to be correct, and I do hereby bind
myself  to appear   for   inspection,   daily,  for the
         to present the abovementioned person                 
next ten days, before the passport examiner of _________________ Circle.
Date
Signature or mark of traveller.
Declared and signed before me.
Date	Signature and designation of the officer
	issuing the passport.
Note.-This should be prepared in triplicate, one copy being retained by the officer
issuing it, the second delivered to the person to whom it is issued, and the third sent to
the officer who is to conduct the ten days' inspection.
Endorsement of the Inspecting officer.		
Date.	Signature.	Designation.
1st day		
2nd ,,		
3rd "		
4th "		
5th "		
6th "		
7th "		
8th "		
9th "		
10th "		
Forwarded to the President, Municipal Commission, Madras, the
passenger having been duly inspected.
Date.	Signature and Designation of the Examining officer.
	(See reverse.)
Reverse.
Regulation 22 under the Epidemic Diseases Act, published in the
Fort St. George Gazette, Part I-A, dated April 11, 1899, page 137,
as amended by Notification No. 563, Fort St. George Gazette,
dated July 4, 1899, Part I-A, page 254.
City Regulation 22.-Every person arriving, or suspected of having
arrived, from any place declared to be infected with plague, or from any
place notified by His Excellency the Governor of Fort St. Greorge in
Council for the purposes of this Regulation, shall, unless exempted under
Regulation 21, be bound to appear at a place provided for the purpose