No. 1.] THE ORDINANCES OF HONGKONG : [A.D. 1884.
SCHEDULE.
FORMS.
FORM No. 1.
Medical Register.
PERSONS QUALIFIED TO PRACTISE MEDICINE AND SURGERY.
A.D. 1884.
HONGKONG
Impressed Stamp of $25.
Name.
Address.
Nature of Qualification.
Date of Qualification.
that he is qualified in the said ... passed the ... cal Registr ... the said Or ...
Dated
I, A.B., residing at ...
FORM No. 2.
Declaration.
I do hereby declare that I am a member [or as the case may be] of [here state the college, faculty, or society] and was authorized by such [here state the college, faculty, or society which gave the authority] on the ... day of ...
I ... to practise medicine and surgery, and that I am, by the name of A. B., duly registered in the United Kingdom under the provisions of the Medical Acts, 1858 and 1886, [or as the case may be] of the Imperial Parliament as qualified to practise medicine and surgery.
Declared before me this ... day of ...
(Signed.) C.D.
Justice of the Peace.
(Signed.) A.B.
AN ORDINANCE ... tain Di ...
WHERE ...
WE ...
nec ... duties in ... attaching t ...
Be it ... the ...
of the Legi ...
1. This ... Duties) Or ...
2. All s ... judgment ... criminal ju ...
at the time ...
Ordinance ...
19th day of ... has been m ...
after the e ... Superinten ... for the tim ...