3.
4.
Qualified Engineer/Authorized Person
Name of Qualified
Engineer/Authorized
Person (Surname First)
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 Fromines (Surname First)
English Chinese
Chinese
Title or Position
Business Registration No.
Certificate of Incorporation No.
Nature of Tenure
Address
Correspondence Address
Telephone
Number
Telephone
Number
No. of Employees in the Premises
Area of the
Premises (m2)
Land Status
Name of Air Control Zone in which the Premises are Located
+ Including the plans and apouifications mentioned in paragrapha 5 and 6.