CAP. 176]
Deaths Registration (Special Registers).
SECOND SCHEDULE.
[s. 4.]
FORM 1.
[No. 1 Register (1896).]
REGISTER BOOK OF DEATHS.
19
Deaths in the district of
"
Hong Kong.
No.
When and where died.
Name and
surname.
Sex. Age.
Rank, profession,
or occupation Cause
and
of death.
88
nationality,
so far is known.
Signature,
description,
of
When Signature regis- and residence tered. Registrar. of informant.
[No. 2 Register (1896).]
FORM 2.
REGISTER BOOK OF DEATHS.
19
Deaths in the district of
Hong Kong.
Rank, profession,
No.
When and where
died.
Name and
surname.
Sex. Age.
and
so far as
or occupation Cause
nationality,
is known.
of death.
Signature, description,
and residence of informant.
354
Consent When and regis- Signature tered.
of Registrar.
Consent given
A.B. Registrar.