1.

U.K. HONG

Country of Asylum: # Kott

RESETTLEMENT REGISTRATION FORM

Applicant

(a) Family name:

(c) Place of birth:

CHONG

CANTON, CHINA

(e) Nationality/country of former habitual residence

VIETNAMESE

(g) Marital status:

MARRIED

(i) Present address:

KENSINGTON BARRACKS

(b) First name(s): HUN

HUN LIEN

(d) Date of birth, or presumed age:

8.6.29

(f) Ethnic origin:

CHINESE

NONE

(h) Religion

(j) Name of parents

W.8.

Father: CHONG Mother: Luu

KHANH LANG

2.

No.

1.

Basic data on all family members and dependants:

Name

Applicant

Relationship to applicant

Place of birth

Date of birth or presumed age

Planning to resettle

with applicant*

2. CHONG (KIM) HUE SIEM DAUGHTER SAIGON VIN 20-04-60

PHƯƠNG

3.

CHONLY (KIM) HUE FONE DAUGHTER

SAIGON V.N04-05-61

4.

5.

6.

7.

8.

9.

10.

11.

12.

* If any family member/dependant lives at address different from that of applicant, please indicate so under item 12, “additional

rremarks".

HCR/117(Res.)/Rev.1

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