Date of birth

出生日期

Place of birth

出生地點

Residential address

住址

2

10-9-96-2 Hit

48. Percial

1: 2 st 16/7 Hat Fouk

Change of address/.

遷居地址

This Permit unless

renewed expires on 如未經續期,則本

証之期滿日期為

29 MAR 1978

曬七八年月廿日

3

IMMIGRATION DEPARTMENT HONG KONG

香港人民入境事務處

Extension of validity

To

延我有效期限

Ferseid $10.00 彩Ò費拾元 Receipt No. 收據號碼

Signature of holder

持証人簽名

baby Your

REMARKS

備註

*

This Permit contains 48 pages exclusive of cover

This Permit contains 48 pages exclusive of cover

本証除封面外共計四十八頁

本誑除封面外共計四十八頁

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