I.D. 75

IMMIGRATION DEPARTMENT

香港人民入境事務處

RE-ENTRY PERMIT

回港證

Name of holder

持證人姓名

LCCC. Nos.

снага....

N°C 176538

Fee paid $3.00

已繳證費三元

CHAN.... SHU..

H.K. identity card No.

香港身份證號碼

Sex

性別 M.....

Cater2(2).

......

$ 22 4

Residential address

3A,

FIBANG HOU

Date issued

簽發日期

住址

VILL, LAU FAU SHARK, 1.7.

Accompanied by the following NC child(ren)

下列簋同行之子女

Name

姓名

Date of birth

出生日期

Sex

性别

A

See conditions over

請參閱背頁所載之各項規則

ད*།?1

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