THE HONGKONG GOVERNMENT GAZETTE, 14TH MARCH, 1896.

(B.)

180

Deaths in the District

}

No.

Sex,

Age.

Hongkong.

(0.)

I, A.B., parent or guardian of the child of one C. D., whose

birth was registered on the

day of

189 do solemnly and sincerely declare that the name by which such child was registered was wrong and that the right name is

to which I desire to alter the name by which the said child was originally registered.

Dated the

day of

189

4

Signed

A. B.,

Parent or guardian.

Before me

Registrar.

Fee $2 if alteration made after 12 months after date of registra- tion; otherwise foe $1.

(D.)

I, A.B., parent or guardian of the child of one C. D., whose

day of

birth was registered on the

189 . do solemnly and sincerely declare that the said child has re- ceived the names of

and desire that these

names shall be added to the register.

Dated this

Before me

day of

189

Signed

A. B., Parent or guardian.

Registrar.

Fee $2 if addition made after 12 months after date of registra- tion; otherwise fec $1.

(E.)

I, A.B., Registrar of Births and Deaths in the district of

tered on the

been altered to

do hereby certify that the name or names of

day of

by which a child of one C. D. was regis. 189 has or have and that such alteration

}

has been entered in the register book in the space reserved for that purpose.

Witness my hand this

Fee $1 or $2.

day of

Signed

189

A. B., Registrar.

(F.)

I, A.B., Registrar of Births and Deaths in the district of

do hereby certify that the name or names of has or have been given to the child of C. D, whose birth was registered on the

day of

189. and that such name or names has or have been entered in the register book in the space reserved for that purpose.

of

Witness my hand this

Fee $1 or $2.

day of

189

Signed

A. B., Registrar.

(G.)

Permission is hereby given to

Dated this

to remove and bury the dead body of one called

from the

to

day of

Signed

floor of No.

189

Officer in charge, No. Police Station.

229

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