東京
DECLARATION OF IDENTITY FOR VISA PURPOSES
I hereby declare that the following particulars concerning myself are true:
721
NAME IN FULL WONG MAN HING()(holder of HKIC No.C276981)
OCCUPATION
Clerk
RESIDENCE No.395, King's Road,
2nd floor, Flat B6,
North Point,
Hong Kong.
PLACE AND DATE OF BIRTH In Indonesia on 7-4-1949
CHILDREN ACCOMPANYING
(IF ANY)
(Name)
(Date of Birth)
2.9 JUN 1977
Height 6
feet 0
inches
Colour of eyes Dark brown
DESCRIPTION
Colour of hair Black
Special peculiarities
None
SIGNATURE OF TRAVELLER
Man Hy WONG та
WITNESS OF SIGNATURE
VISAS
--
두
Notary Public, Hong Kong.
2 9 JUN 1977