u/s 41(a)

As per your query, I've laid down a link below for your reference which contains a replica for a notice that you're looking for, have a look at it in order to attain specific details about the same.

https://www.legalservicesindia.com/article/1942/Notice-Format-u/s-41-A-Crpc.html

Hope It Helps!

Regards
Kevin M. Paul