Deaths Registration (Special Registers).
THIRD SCHEDULE.
[CAP. 176
[s. 4.]
FORM 1. [No. 1 Register (1934).]
REGISTER BOOK OF DEATHS.
19
Deaths in the district of
No.
When and where died.
Name and surname.
Sex.
Age,
19
Rank, profession,
Hong Kong.
Signature, description,
of death.
and residence of informant.
When Signature
of registered. Registrar.
or occupation Cause
and
nationality,
so far as
is known.
FORM 2.
[No. 2 Register (1934).]
REGISTER BOOK OF DEATHS.
Deaths in the district of
Hong Kong.
Rank, profession,
or occupation and
Cause of
nationality, death.
Signature, description, and residence of informant.
Consent When and registered. Signature
of Registrar.
No.
When and where
died.
Name and
surname.
Sex. Age.
so far as is known.
355
Consent given A.B. Registrar.