Births and Deaths Registration.

FORM 9.

Permit for removal and burial of dead body.

Permission is hereby given to and bury the dead body of one called floor of No.

[CAP. 174

[s. 16 (1).]

of

to remove

from the

Dated the

to

day of

(Signed.)

No fee is payable for this permit.

19

Officer in charge.

No.

Police station.

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FORM 10.

[s. 16 (2).]

Permit for removal of dead body from the Colony.

Permission is hereby given to

from the Colony the dead body of one called

Dated the

day of

of

19

to remove

(Signed.) A.B., a Registrar of Births and Deaths.

No fee is payable for this permit.

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FORM 11.

Certificate of Registration of Death.

I, A.B., a registrar of deaths in the district of hereby certify that the death of

by me on the

Dated the

day of

day of

[s. 17 (1).]

do

has been duly registered

19

,

19

(Signed.) A.B., a Registrar of Births and Deaths.

No fee is payable for this certificate.

領此証書無須繳費

FORM 12.

Order for burial of body.

[s. 17 (1).]

I, A.B., a magistrate of Hong Kong do hereby order the burial [or cremation] of the body now shown [or reported] to me as the body of

Dated the

day of

(Signed.)

331

19.

A.B., Magistrate.

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