SECOND SCHEDULE
FORM 1
[regs. 4, 11, 12, 13 & 16.]
[reg. 4.]
AIR POLLUTION Control (SPECIFIED PROCESSES) REGULATIONS
APPLICATION FOR A LICENCE PURSUANT TO SECTION 14 OF THE AIR POLLUTION CONTROL ORDINANCE
1987 Ed.] Processes) Regulations Air Pollution Control (Specified
[CAP. 311
F 7
1.
I/We* the undersigned hereby apply under section 14 of the Air Pollution Control Ordinance for a licence for the conduct of the undermentioned specified process and I/we* hereby declare that the following particulars and the additional information, if any, provided are correct and the relevant plans and specifications are prepared by the qualified engineer(s)/authorized person(s) listed in paragraph 3 of the application.
I/We* enclose the application fee of $100.
This application, including plans and specifications, comprises pages.
Dated this day of 19
Signature of Applicant
Name
2.
Details of Owner(s)†
Name of the Owner(s)
(Surname First)
English
Identity Card/
Status
Correspondence Address
Telephone
Number
Chinese
Certificate of
Incorporation* Number
To: The Authority
* Delete if not applicable.
† Including the applicant.
i
[Subsidiary]