5070020

H.C. 7:3

A 714664

REGISTRAR GENERAL'S DEPARTMENT, HONG KONG

CERTIFIED COPY OF AN ENTRY IN A REGISTER OF BIRTHS KEPT

IN TERMS OF THE BIRTHS AND DEATHS REGISTRATION ORDINANCE,

CAP. 174!

No

Whea and Where hain

Name if wov

Sex

Name and Surname of Pather

Name and maiden Surname of Mother

Ruak os profession of Mother

Signature, descripher

and residence of mfoman.

When Fegistered

Þânır ifa Ete?! sfor

if Regating

ܐ܂

· ·

540

XM H

IA

afil 1965.

Orneen

brary

thi Hung pay

Hospital

هان

kai

TINE

kit hue

用潔梅

So Desbos.

And floor

CERTIFIED 1o be a truc copy of an entry in the Register of Births in the Colony of Hong Kong thisteron

day of

MORE $150

150 gelo, soli puramente mglou, gr

Lengt

CAUTION:

mel and touwen tuind

19h4

dewasa ni kuqe ish

an bekam daju zem.

a registrar of Births & Deaths.

Any person who (1) falsifies any of the particulars on this certificate, or (2) uses a falsified certificate as true, knowing it to be false, is liable to prosecution."

大麻器內之任何項目或(二)明知球書诊憾淡而液感作為真饒者可有遭受控訴之處

HE WA

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