1906

No. 9 of 1911.

LIQUORS CONSOLIDATION.

FIFTH SCHEDULE.

[s. 66 (5).]

EXAMINATION OF A CANDIDATE FOR THE POST OF NATIVE

Questions.

1. Name.

2. Age.

3. Where born.

4. Trade or calling.

5. Single or married.

6. Number of children.

7. What previous service under Government.

8. When discharged.

9. And why.

10. With whom last employed.

11. And where.

12. What Chinese dialects can you speak.

Dated the day of

Approved for medical examination. Dated the day of

Answers, 19

3

(Signed) Candidate. 19

(Signed) Superintendent.

as a native revenue officer.

Dated the day of

MEDICAL CERTIFICATE.

I hereby certify that I have examined the above candidate as to his health and bodily strength, and that I consider him fit for service

19

(Signed) Principal Civil Medical Officer.

SIXTH SCHEDULE.

[s. 66 (5).]

EXAMINATION AND OATH BEFORE A MAGISTRATE,

Questions to be put separately by the magistrate to a person engaging to serve as a native revenue officer.

Questions.

1. What is your name?

2. In what place were you born?

3. What is your trade or calling?

Answers.

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