4.
Qualified Engineer/Authorized Person
Name of Qualified
Engineer/Authorized
Person (Surname First)
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Correspondence Address
Telephone
Number
Material Prepared
Premises where the specified process is to be conducted
Name of the Premises (if any)
English
Contact Person
in the Fremises
(Surname First)
English Chinese
Chinese
Title or Position
Address
Correspondence Address
Business Registration No.
Certificate of Incorporation No.
No. of Employees in the Premises
Nature of Tenure
Area of the
Telephone
Number
Telephone
Number
Land Status
Premises (m2)
Name of Air Control Zone in which the Premises are Located
+ Including the plans and specificationa mentioned in paragrapha 5 and 6.