1408

No. 30 of 1915.

ASIATIC EMIGRATION.

TENTH SCHEDULE.

[S. 36 (2).]

FORM OF PASSAGE TICKET.

I hereby engage that the Asiatic named at foot hereof shall be provided with a passage to, and shall be landed at the port of

in

?

in the ship called the

with not less than 72 cubic feet and 12 superficial feet for berth accommodation, or in the case of a ship with a special licence, 54 cubic feet and 9 superficial feet, and shall be victualled according to legal requirements during the voyage and the term of detention at any place before its determination, for the sum of

dollars, and I hereby acknowledge to have

dollars in full payment.

received the sum of

Name and surname of emigrant.

Male.

Female.

Native place,

Occupation.

village and

Age.

Age.

district.

Victoria, Hong Kong, the

day of

(Signed)

19

?

Passage broker.

I hereby certify that I have explained and registered the above passage ticket.

Victoria, Hong Kong, the

day of

(Signed)

19

Secretary for Chinese Affairs.

Note. Should the above-named ship not be able to proceed on the proposed voyage, a passage is to be provided in some other ship licensed for the conveyance of emigrants.

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