CAP. 176] Deaths Registration (Special Registers)

19

*

[1984 Ed.

THIRD SCHEDULE

FORM 1

(s. 4.)

[No. 1 Register (1934).]

REGISTER BOOK OF DEATHS

. Deaths in the district of

No.

When and where died

Name and surname

Sex

Age

Rank, profession, or occupation and nationality, so far as is known

Cause of death

Signature, description and residence of informant

When registered

Signature of Registrar

Hong Kong,

FORM 2

REGISTER Book of DEATHS

. Deaths in the district of

[No. 1 Register (1934).]

- Hong Kong.

No.

When and where died

Name and surname

Sex

Age

Rank, profession, or occupation and nationality, so far as is known

Signature, description and residence of informant

Cause of death

When registered

Signature of Registrar

Consent given A.B. Registrar.

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