Section 7. For Form A of the said rules, the following Form shall be substituted, namely:

7. For Form A of the said rules, the following Form shall be substituted, namely:- " FORM A (See sub-rule (2) of rule 5) FORM OF APPLICATION FOR THE APPROVAL OF A PLACE UNDER CLAUSE (b) OF SECTION 4 OF THE ACT Category of approved place: - (A) Pregnancy can be terminated upto twelve weeks - (B) Pregnancy can be terminated upto twenty-four weeks - (i) Name of the place (in capital letters): (ii) Address in full: - (iii) Non-Government or Private or Nursing Home or Other Institutions: - (iv) State, if the following facilities are available at the place: CATEGORY A - (i) Gynaecological examination or labour table. - (ii) Resuscitation equipment. - (iii) Sterilisation equipment. - (iv) Facilities for treatment of shock, including emergency drugs. - (v) Facilities for transportations, if required. - CATEGORY B - (i) An operation table and instruments for performing abdominal or gynaecological surgery. - (ii) Drugs and parental fluids in sufficient supply for emergency cases. - (iii) Anaesthetic equipment, resuscitation equipment and sterilization equipment. Place: Date: Signature of the owner for the place.".