Fillable FORM 7: MEDICAL REPORT AND AGE ASSESSMENT OF (South Africa Department of Justice and Constitutional Development)

Fill Online, Printable, Fillable, Blank FORM 7: MEDICAL REPORT AND AGE ASSESSMENT OF (South Africa Department of Justice and Constitutional Development) Form

Use Fill to complete blank online SOUTH AFRICA DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

FORM 7: MEDICAL REPORT AND AGE ASSESSMENT OF (South Africa Department of Justice and Constitutional Development)

On average this form takes 16 minutes to complete

The FORM 7: MEDICAL REPORT AND AGE ASSESSMENT OF (South Africa Department of Justice and Constitutional Development) form is 3 pages long and contains:

  • 0 signatures
  • 6 check-boxes
  • 61 other fields

Country of origin: SOUTH-AFRICA
File type: PDF

Use our library of forms to quickly fill and sign your South Africa Department of Justice and Constitutional Development forms online.

BROWSE SOUTH AFRICA DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
J772
REPUBLIC OF SOUTH AFRICA
FORM 7
MEDICAL REPORT AND AGE ASSESSMENT OF CHILD
IN TERMS OF SECTION 48(2) OF THE CHILDREN'S ACT, 2005 (ACT NO. 38 OF 2005)
REGULATIONS RELATING TO CHILDREN'S COURTS AND INTERNATIONAL CHILD ABDUCTION, 2010
[Regulation 10(2)]
A. MEDICAL REPORT OF PERSON WHOSE AGE IS ESTIMATED
I PERSONAL PARTICULARS
Surname:
Full names:
Gender:
Residential
address:
Code ( )
Phone number(h): ( )
II MEDICAL PARTICULARS
General
Height: Weight:
Condition of
Lungs:
Heart:
Teeth:
Apparent impairment: Indicate degree
Sight:
Hearing:
Speech:
Orthopaedic:
Neurological:
Intellectual:
Other
Yes No Yes No Yes No
Presence of any
diseases:
Presence of
any
infections:
Presence of
any injuries:
If 'Yes' to
presence of any
disease/
infection/injury,
specify:
J772
DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
2
Normal Abnormal If abnormal: specify
Physical
development
according to
*his/her age:
Adequate Deficient If deficient: specify
Nutrition:
Yes No If 'No': Specify
Vaccinations:
Yes No If 'Yes': Specify
Substance abuse:
Yes No If 'Yes': Specify
Other
observations:
Yes No If 'Yes': Specify
Medical or other
treatment
required or
recommended:
Date…………………………………… Place…………………………………………………………………………...
………………………………..
Medical Practitioner
J772
DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
3
D.S. Ref No.: .........................................................................
B. MEDICAL ASSESSMENT OF AGE
Surname:
Full names:
ASSESMENT
Height:
Weight:
Breasts:
Molar teeth:
Pubic hair:
Auxiliary:
Facial:
Genitals:
OPINION
On the grounds of the above-examination, and *his/her general appearance, dressed and undressed, * his/her—
(a) age is assessed at being between............................................................... and .....................................................
Most probable age ..............................................................................................;
(b) possible date of birth, taking the above-mentioned into account, could be: ……………………………………………
REMARKS:
.................................................................................................................................................................................................
.................................................................................................................................................................................................
.................................................................................................................................................................................................
.................................................................................................................................................................................................
.................................................................................................................................................................................................
.................................................................................................................................................................................................
.................................................................................................................................................................................................
Date…………………………………… Place…………………………………………………………………………...
………………………………..
Medical Practitioner
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

FORM 7: MEDICAL REPORT AND AGE ASSESSMENT OF (South Africa Department of Justice and Constitutional Development)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 November 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document