the said

* the said

the said

if the said

15

the sum of $

the sum of $

the sum of $

fails to report to

(here specify an officer of the Immigration Department or a

police officer)

in every

at least once

days until this recognizance ceases to

have effect.

Signed by

the said

* the said

* the said

on the

day of

19

in the presence of

* Delete where inapplicable.

Signature.

4

Form No. 9.

IMMIGRATION ORDINANCE 1971..

(No. 55 of 1971)...

1

Section 48(1).

APPLICATION FOR FORFEITURE OF A SHIP/VEHICLE.

"

IN THE MAGISTRATE'S COURT AT

*

..IN HONG KONG.

Pursuant to section 48(1) of the Immigration Ordinance

1971, I

hereby apply for the forfeiture of

.Director of Immigration,

(here insert description of the ship or vehicle)

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