172
THE HONGKONG GOVERNMENT GAZETTE, MAY 15, 1914.
Regulation No. 8.
of
I,
of
Schedule.
Form No. 1..
The Cremation Ordinance, 1914.
Application for permission to cremate,
* Executor
being the
nearest surviving relative in Hongkong
who died at
on the
rest relative
day 19 hereby apply for permission to cremate the remains of the deceased in the Crematorium at
and I solemnly and sincerely declare that to the best of my knowledge and belief it was not contrary to the wishes of the deceased that h remains should be cremated.
I append hereto the certificates required by No. 9 of the Regulations.
Dated this
day of
Signature
Address
19
* Delete where inapplicable..
Regulation No. 9 (a).
FORM NO. 2.
The Cremation Ordinance, 1914.
Confirmatory Certificate of Cause of Death.
I hereby certify that to the best of my knowledge and belief the death of
who died at
on the
¿
day of
19
was not due to poison or to violence or to any illegal operation or to privation or neglect.
Dated this
day of
19
Signature....
Registered Qualification.....
Address.
Regulation No. 9 (b).
FORM NO. 3.
The Cremation Ordinance, 1914.
Certificate of cause of death after post-mortem examination.
Ι
We
examination of the remains of
19
at
hereby certify that have made a post-mortem
I
we
who died on the
day of
and that to the best of
my
our
knowledge and