A.D. 1889.]

CHINESE EMIGRATION.

[No. 1.

617

I, the undersigned, hereby apply for a Licence under Section 6 [or Section 8, as the case may be,] of the Chinese Emigration Ordinance, 1889, for t.... .......... and I do solemnly swear [or declare] that the above particulars

are true.

The Surveyor's Certificate is herewith attached.

(Signed.)

Agent or Charterer of......... Ship............

Sworn [or Declared] by the above-named

this

of

, 1

Before me,

(Signed.)

*

day

Justice of the Peace.

If any, copy of each contract is to be attached.

Insert here the words

**

case may be.

........months"

or "the above-mentioned voyage," as the

THE SECOND SCHEDULE.

FORM OF EMIGRATION OFFICER'S CERTIFICATE.

I, A.B., Emigration Officer for the Colony of Hongkong, do hereby certify as follows:-

1. That the Chinese passenger ship

A.B., master, is

specially licensed under the provisions of the Chinese Emigration Ordinance, 1889.

2. That the said ship is licensed to carry are to be under any contract of service whatever.

Dated this

day of

adults, of whom none

(Signed.)

Emigration Officer.

THE THIRD SCHEDULE.

FORM OF BOND TO BE GIVEN BY THE MASTER OF A CHINESE PASSENGER SHIP HOLDING A SPECIAL LICENCE.

Know all men by these presents that we, A.B., of

"

and C.D.,

of

are held and firmly bound unto Our Sovereign Lady Queen Victoria, in the sum of one thousand pounds of good and lawful money of Great Britain, to be paid unto Our said Sovereign Lady the Queen, Her Heirs and Successors; to which payment well and truly to be made we bind ourselves and every of us jointly and severally for and in the whole,

Section 20.

Section 20.

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