12.

Address in Hong Kong

8

13.

Signature of Traveller

Form No. 2.

IMMIGRATION ORDINANCE 1971.

(No. 55 of 1971).

Section 11(8).

RECOGNIZANCE.

WHEREAS

of

is an immigrant in respect of whom the condition(s) of

stay specified below is/are in force under the Immigration

Ordinance 1971:

NOW

-

The said

or

of

,, being

the captain/owner/agent of the owner/of the ship/aircraft

of which the said

is a member of the crew;

of

..; and

of

hereby acknowledges/acknowledge that he/they severally will

pay to the Crown the following sum/sums

·

the said

* the said

the sum of $

the sum of $

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