NAME
ex. s.s.
Arrived Hong Kong on
Left Hong Kong on
by s.s.
Duration of stay in Hong Kong
Accommodation in Hong Kong:—
In J.C.S., H.V. from
In C.B.S. from
149
Appendix 6.
..days.
to
inclusive.
to
inclusive.
In Laichikok from
to
inclusive.
In
from
to
inclusive.
In
from
to
inclusive.
In S.S.Po Camp from
to
inclusive.
1.
Guarantee form
2. Questionnaire
Assessment of ability to pay
Appendix 7.
GOVERNMENT OF HONG KONG
In consideration of the Hong Kong Government providing me the undersigned
Here insert full
name of person signing under- taking.
Here insert full name of each person in charge
of or accompany- ing the person signing.
and
with
passages to Shanghai, I hereby agree to pay to the said Government on demand in respect of such passages the sum of
Dollars
($
).