Form for a Bill of Pains and Penalties

Form
Preamble.

Whereas, on the ... day of ..., 19XX, A, then member of the House of Commons for the constituency of B, was complicit in the passing of the Bill for the XYZ Act 19XX by that House:

[The normal words of enactment go here]

Conviction, penalty and citation.

1.-(1) The said complicity of the said A in the said passing of the said Bill shall be deemed and adjudged high treason. (2) The said A shall be imprisoned for life. (3) This Act may be cited as the Punishment of A Act 20XX.