District No.

BEING SATISFIED on the information on oath and in writing of ......... of ........... a member of the Garda Síochána not below the rank of sergeant, sworn before me on this day, that there are reasonable grounds for suspecting

that *(part of) the premises situated at ........ in the said court district, *(namely, .......... is used by a person, namely, ............ for the purposes of prostitution, and that a person, namely, .........., residing in/frequenting *(that part of) the said premises, is living in whole or in part on the earnings of the prostitution of another person,

I HEREBY ISSUE this warrant authorising ...... of ........ member of the Garda Síochána, accompanied by other members of the Garda Síochána, at any time or times within one month from the date of the issue of this warrant, on production if so requested of this warrant, to enter, if need be by force, and search the said premises at.

in the said court district, and arrest the said last-mentioned person ........., pursuant to section 10 (2) of the above-mentioned Act.

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

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

Judge of the District Court

To the Superintendent of the Garda Síochána,

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

*Delete words inapplicable