1856
THE HONG KONG GOVERNMENT GAZETTE, NOVEMBER 28, 1941.
FORM B.
Application for Food Shop Licence.
[rule 12 (3)]
The District Officer,
·I, the undersigned, hereby notify the District Officer that I propose
to carry on the business of
on the premises known as No.
Street
floor, and to request that the said premises be duly
licensed as a
I declare that neither I nor any member of my family is financially
interested in any Food shop Licence or Market Stall other than the
following :-
Hong Kong,
.194
Signature of Applicant.
現擬在
號
店
樓 姓
街門牌第
民俾特
府得赴設第名
台前恩准施行 遵例營生則沾恩靡旣切赴理民府 署禀請懇給牌照將該店注册俾得
品舖店牌照或街市檯位生意 或家中任何一人并無投資經營食 茲特聲明除左列生意之外具禀人
一九四
年
叩
月
禀日