50
Kowloon.
? 9 MAY 1992
Chairman,
Medical Examination Board
HONG KONG GOVERNMENT
ho FOR MEDICAL EXAMINATION
Canton Rd, Govt. Offices,[AN NI, CEDENTED
393, Canton Road,
Date of appointment booked:
20.5.92
COURT
D.
Time of appointment booked:
Previous M.E.B. No.
3:15 p.m.
F
Please arrange for medical examination of:
MY
R.W. Davies, Principal Magistrate
present rank if serving
for fitness for:
name
"(e)-employment-es
on
with-effect-kom
post
date
term of employment
*(b) -'retention/extension-of-service tilk
(c) the following purpose: Transfer...to..permanent and pensionable establishment
in the case of Study Leave, date of commencement, place and duration of course must be clearly stated
The applicant is at present in Government Service being first appointed as..Magistrate.
in
Judiciary
on
Department
15.2.80
date
serving on "temporary/probation/permanent/agreement terms.
Date of birth: .....24.8.19.4
19.4......
post
*He/she is at present
*HK Identity Card/Passport No. XG398238.(A)..............
Copies of previous medical reports and sick leave statement extracted from "his/her past five years sick leave record are-attached/No sick leave taken during the immediate preceeding five years.
Date..10..2..92......... Dept. Judiciary
Tel. 8.2.5..4208... Signature (.Ms.... ennifer KWONG)
for Registrat Supreme Court
MEDICAL EXAMINATION BOARD'S REPORT
M.E.B. No.
F34266
The above-named has been medically examined by the Board and found physically
*(a) FIT for the purpose shown above 'subject-to-wearing-suitable bestanice/content-lenses. "His/ber present
'spectacles/contact-lenses "are/are-net suitable.
(b) UNFIT the diegnesie-erouspected-diagnasie-being--
Special remarks/recommendations:
29 MAY 1992
Date
(
L. J KAN Pik-pa. Chairman, Medical Examination Board.
>
Notes for Depts. This form should be taken by applicant to M.E.B. on date of appointment booked. Applicants must be advised that they should produce for inspection at M.E.B. their identity cards and for assessment of aided vision, their spectacles, if worn.
*Salete whichever NOT joplicable