A
1516
SCHEDULE.
FORM A.
IMPORT CERTIFICATE issued
by the Government of Hong Kong,
[ss. 2 (1) (c), 5 (2).]
Serial No.
File No....
INTERNATIONAL OPIUM CONVENTIONS.
Certificate of Official Approval of Import.
I, being the person charged with the administration of the law relating to dangerous drugs to which the International Opium Conventions apply, hereby certify that I have approved the *Here insert importation by*
name, address
and business
of importer.
+Here insert oft
exact descrip-
tion and
amount of
drugs to be
imported.
Here insert fromt
name and
address of
firm in
exporting
country from
which the
drug is to
be obtained.
subject to the conditions that
¶Strike out words not applicable.
(i) the consignment shall be imported before the
(ii) the consignment shall be imported by
and
and that I am satisfied that the consignment proposed to be imported is required
(1) for legitimate purposes (in the case of raw opium or
the coca leaf)
(2) Tsolely for medicinal or scientific purposes (in the case of Indian hemp or drugs to which Chapter III of the International Opium Convention, 1925, applies).
(Date)
(Signature and stamp of the Superintendent).
THIS DOCUMENT IS SOLELY FOR PRODUCTION TO THE GOVERNMENT OF THE COUNTRY FROM WHICH THE DRUG IS PROPOSED TO BE OBTAINED.