Form 3 (a) (rules 11-12) Identity Card

ENDORSEMENTS

- 353 -

Hong Kong

Form 3 (b) (rules 11-12) Counterfoil

Changes of residence or employment.

permanent, address of

REGISTRATION OF PERSONS

RULES.

FORM 3 (RULES 11-12)

身份證

(1) Employers Serial No.:

(1) Employers Serial No.:

(2) Name (in English) (3) (in Chinese)

(3)

(2) Name (in English) (in Chinese)

(4)

Address (in English)

|(4)

(5) (in Chinese)

Employment

Address (in English)

(5) (in Chinese).

Employment Address

(in English)

Address (in English)

(in Chinese)

Date of issue

Issuing Officer's Signature.

Registration of Persons.

[CAP. 177]Form 3 (b) (rules 11-12)

Counterfoil

1 2 3 4 5 6 7

(6) Age (7) Sex

(8)

Race

-354-

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