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No. 1 of 1889.
CHINESE EMIGRATION.
If not, then with what object
Proposed date of departure from Hongkong
Name of Master
Names and address of the Shipowners
Names of Charterers
Names of Agents
Number of Chinese Passengers to be conveyed
Free
Under Contract of Service*
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 ........................... and I do solemnly swear or declare that the above particulars are true.
The Surveyor's Certificate is herewith attached.
(Signed.)
Sworn [or Declared] by the above-named
this
of
19
Before me,
(Signed.)
20
Agent or Charterer of...........Ship........................................
day
Justice of the Peace.
*If any, copy of each contract is to be attached.
Insert here the words
as the case may be.
months " or the above-mentioned voyage,"
SECOND SCHEDULE.
FORM OF EMIGRATION OFFICER'S CERTIFICATE.
[s. 20.]
I, A.B., Emigration Officer for the Colony of Hongkong, do hereby certify as follows:-
1. That the Chinese passenger ship licensed under the provisions of the Chinese Emigration Ordinance 1889.
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A.B., master, is specially
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2. That the said ship is licensed to carry under any contract of service whatever.
Dated this
day of
adults, of whom none are to be
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19
>
(Signed.)
Emigration Officer.
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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
are held
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and C.D., and firmly bound unto Our Sovereign Lord the King, in the sum of one thousand pounds of good and lawful money of Great Britain, to be paid unto Our said Sovereign Lord the King, His 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, our heirs, executors, and administrators, and every of them, firmly by these presents scaled with our seals.
As amended by No. 51 of 1911.
[s. 20.]
be.
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