1973 Ed.]
Legal Aid in Criminal Cases Rules
[CAP. 221
D 11
[Subsidiary]
You must enter true and correct particulars against each numbered heading, if the answer is "None" or "No", this must be written in.
The declaration at the end must be duly made and the form sent to the Director of Legal Aid.]
1. Name (in block letters)
2.
Full Address
3. State whether single man/woman, married man/woman, widow or widower
4.
Occupation
5. Average monthly income from all sources, including overtime
sources,
$
6. Amount per month of rent (or mortgage repayments) and rates
7. What persons do you support? If any are children at school state their ages
8. What money have you that could be used for obtaining legal repre- sentation at your own expense?
9.
7
What other assets have you that could be used for obtaining legal representation at your own expense?
10. If you are under twenty-one, are your parents or guardian able and willing to provide legal representation for you to assist you in providing yourself with legal representation?
Statutory declaration by applicant
I, (a)
do solemnly and sincerely declare that I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Oaths and Declarations Ordinance, Chapter 11.
Declared at Hong Kong this
Signature of Applicant.
(a) Name of applicant in full.
day of
Before me,
19......
I, (a)
Commissioner for Oaths.
(Alternative declarations to be used if the applicant does not understand the English language) Declaration by interpreter
do solemnly and sincerely declare
that I well understand the English and (b) languages, that I have truly, distinctly and audibly interpreted the contents of this document to the said (c)
and that I will truly and faithfully interpret the declaration about to be administered to him.
(a) Name of interpreter in full. (b) Name of other language.
(c) Name of applicant in full.
Signature of Interpreter.
Declared at Hong Kong this
*
day of...
Before me,
Commissioner for Oaths.