THE HONG KONG GOVERNMENT GAZETTE. JULY 5, 1940.
FORM NO. 5.
1,
of
Registration of Dentists Ordinance. 1946.
Application for Registration
under
Section 7 (a). (b) and (c).
hereby apply for registration as a dentist.
(a) I am registered under the Dentistry Ordinance. 1914,
or
*(b) I hold the qualifications set Out below entitling me to
registration under the Ordinance.
Declared at Hong Kong this
day of
1940.
Before me,
Justice of the Peace or Notary Public
Hồng Kong.
*Strike out inapplicable paragraph.
COUNCIL CHAMBER,
3rd July, 1910.
Photograph (passport size)
T. MEGARRY,
Clerk of Councils.
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