REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION

REGIONAL TRIAL COURT

BRANCH ____, MAKATI CITY

DIRECTOR OF HEALTH,
Spec Proc No._____

Petitioner, For: Hospitaliation of Insane

Person
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PETITION FOR HOSPITALIZATION OF INSANE PERSON

The Director of Health, bu the undersigned City prosecutor of Makati City, unto this

Honorable Court, respectfully avers that:

1. The petitioner is the duly appointed Director of Health of the Government of the

Philippines, with office in the City of Manila.

2. A person named EDDIE GIL, presently residing at 123 J.P. Rizal St. Makati City, is

insane and it would be for the welfare and safety of the public that he be committed to

an insane asylum.

3. The relatives of the said insane and those who have charge of him, particularly,

NIKKI GIL, now residing at 123 J.P. Rizal St. Makati City, are opposed to the

insane’s being taken to a hospital or other place for the insane, and are, otherwise

unable to take proper custody and care of said insane.

WHEREFORE, it is respectfully prayed, that after due hearing, an order be issued

committing said EDDIE GIL to an insane asylum in the City of Manila until such time as he

may be cured of his insanity and released without danger to the community.

Makati City, 1st day of April, 2009

John Binay

City Prosecutor