2

Application having been made under section 34B (1)

of the Merchant Shipping Ordinance for the forfeiture

of

This summons requires you to appear on the

day of

19

at

o'clock in the

noon, at the Magistrates Court at

... in Hong Kong before a magistrate

on the hearing of the said application.

Dated this

day of

19.

Magistrate

(Back)

CERTIFICATE OF SERVICE

To be completed at the time of service)

Served upon the within named

by (here state method of service)

Date

**Signaturė

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