646
FORM No. 12.
Order for burial of body.
[s. 17 (1).]
I, A.B., a Magistrate of Hong Kong do hereby order the burial for cremation] of the body now shown [or reported] to me as the body of
Dated the
day of
19
(Signed.)
A.B., Magistrate.
FORM No. 13.
Certificate of Registration of Death.
Name of deceased person
Sex
[s. 17 (2).]
Age
Date of death
Date registered
Address at death
Signature of Registrar
This certificate must be produced on demand by a Police Officer
to prove that the name of the person entered has been registered.
此執照如遇醫弁索閱須交出察看
以証明上開之人名經已註册
FORM No. 14.
Certificate of still-birth.
{s. 18 (1).]
I, A.B., registered medical practitioner in the Colony of Hong Kong, hereby certify that I was in attendance at the birth of the child of Mrs. C.D. [or have examined the body of the child of Mrs. C.D. and that such child was not born alive.
Dated the
day of
19
(Signed.)
A.B., Registered medical practitioner.
!
Page 15Page 16
647