CAP. 133]

of

I,

Cremation.

FIRST SCHEDULE.

FORM 1.

The Cremation Ordinance.

(Chapter 133 of the Revised Edition).

APPLICATION FOR PERMISSION TO CREMATE.

I, being the

executor

[reg. 7.]

nearest surviving relative in Hong Kong

attorney or agent of the executor or nearest relative

person selected in that behalf by the Director of Medical and Health Services.

who died at

...day of

....on the 19......, hereby apply for

permission to cremate the remains of the deceased in the

....crematorium at

And I solemnly and sincerely declare that to the best of my knowledge and belief it was not contrary to the wishes of the deceased that his remains should be cremated.

I append hereto the certificates required by regulation 8 of the regulations made under the Cremation Ordinance.

Dated this

.day of

Signature

Address

19......

FORM 2.

The Cremation Ordinance.

(Chapter 133 of the Revised Edition).

CREMATION CERTIFICATE.

[reg. 8 (a).]

I hereby certify that to the best of my knowledge and belief

the death of

who died at

day of

.on the

19......, was not due to poison or to

violence or to any illegal operation or to privation or neglect.

Dated this

........day of

Signature

Qualification

Address

19......

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