District No.

BEING SATISFIED by the information on oath and in writing sworn before me, a Judge of the District Court exercising jurisdiction in respect of the said district court area, on this day by ....... of ....... a member of the Garda Síochána not below the rank of sergeant, that there is reasonable ground for suspecting that the premises situated at ............ in the said district court area, is a brothel,

I HEREBY ISSUE this search warrant pursuant to section 19 of the above-mentioned Act authorising ............ of .......... a member of the Garda Síochána not below the rank of sergeant, accompanied and assisted in the inspection and search herein authorised by such other members of the Garda Síochána (of whatever rank) as he or she may think proper, to enter (if need be by force) the said premises situated at ........, in the said district court area, at any time within one month from the date of the issue of this warrant and to inspect and search the said premises and to demand of every person found in the said premises during such inspection and search his or her name and address.

Dated this .... day of ......... 19 .... .

Signed ........................

Judge of the District Court assigned to the said district court district

To the Superintendent of the Garda Síochána,

at ..............................