Notice to show cause why warrant of arrest should not issue

(Order XXI, Rule 37)
To 

Whereas …………………. has made application to this Court for execution of decree in Suit No………. of 20……… by arrest and imprisonment of your person, you are hereby required to appear before this Court on the …………… day of ………….. 20………. to show cause why you should not be committed to the civil prison in execution of  the said decree.

Given under my hand and the seal of the Court, this ………………. day of …………. 20……

Judge