3.

25

Premises where the specified process is to be conducted

Name of the Premises (if any)

English

Contact Person

in the Premises

Chinese

(Surname First)

Title or Position

English Chinese

Business Registration No.

Certificate of Incorporation No.

Nature of Tenure

Address

Correspondence Address

Telephone

Number

Telephone

Number

No. of Employees in the Fremises

Area of the

Land Status

Fremises (m2)

Name of Air Control Zone in which the Premises are located

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