To
The Superintendent of the Jail at………
Under the provisions of Order V, rule 24, of the Code of Civil Procedure, 1908, a summons in duplicate is herewith
forwarded for service on the defendant …… who is…… a prisoner in jail. You are requested to cause a copy of the
said summons to be served upon the said defendant and to return the original to this court signed by the said
defendant, with a statement of service endorsed thereon by you.
Judge