Published with notification no. G.S.R. 299/F. 11(16)/FD/71, dated 11-12-1975, published in Rajasthan Gazette, Part 4-C (1), ordinary dated 1-1-1976 Medical Termination of Pregnancy Regulations, 1975 (c) "Approved Place" means a place approved in accordance with Rule 4 of the Medical Termination of Pregnancy Rules, 1975: Signature of Responsible Officer dated ...................... 6. Reasons for termination (indicate total number under each sub-heading):. *I/We hereby imply that *I/We have terminated the pregnancy of the above woman who has the serial number............. in the approved hospital/location admission record. (Full address of general practitioner)..... I hereby certify that1 I/we/am/believe, formed in good faith, that it is necessary to terminate the pregnancy of...................... Residents of .... (Full address of the woman in print) for the reasons indicated below xx(Full name of the pregnant woman in print) Note: - In determining whether the continuation of a pregnancy would result in serious harm to her physical or mental health, account may be taken of the actual or appropriate violent environment of the pregnant woman. 4.

Eugenic reasons, if there is a risk that the child will be born with severe physical or mental disabilities (e.g. birth defects, etc.) Signatures of general practitioners......... (i) in the event of a ministerial or other inquiry by the Secretary General of the Government of Rajasthan: (f) "Hospital" means a hospital established or maintained by the State Government. (d) "Chief Medical Officer of the State" means the Director and the State Government Health Service: (iii) In view of the serious risk that, if the child were born, he or she would suffer such physical or mental abnormalities as to render him or her severely disabled. Signature of the resident physician/signature of the registered physician............... (v) Because the pregnancy is due to the failure of a contraceptive or contraceptive method used by the married woman or her husband to limit the number of children. (iii) in the case of an action or other action for damages, the district judge in whose jurisdiction the hospital or licensed place is located, provided that the general practitioner issues a certificate enabling him to obtain leave from his employer at the request of an interrupted worker; provided that such employer may not disclose such information to any other person. 1. Therapeutic: if the continuation of the pregnancy endangers the lives of women or can seriously harm their physical or mental health.

Name of general practitioner (a) from whom the report is made. 2. Social: If the economic and social environment is not conducive to the continuation of pregnancy Contraceptive failure 5. If the pregnant woman is not in good mental health (e.g. schizophrenia, mania, etc.) The written consent of the guardian is required for the abortion of these women. (Name and qualification of general practitioner in capital letters)..... (ii) in the case of an investigation of an offence, a judge of the first class having territorial jurisdiction for the hospital or authorized place; (a) "Act" means the Medical Abortion Act, 1971 (34 of 1971): (full address of registered medical practitioner)......... I............................................................................................ (Name and qualification of medical officer in capital letters)..... (i) save the life of the pregnant woman. (e) "Form" means a form attached to these provisions: (b) "registration register" means the register kept in accordance with article 5: (iv) Because the pregnant woman claimed that the pregnancy was caused by rape. (ii) prevent serious harm to the physical or mental health of the pregnant woman.