1983 Ed.]
District Court Civil Procedure (Forms) Rules
[CAP.336
D5
[Subsidiary]
FORM 5
WRIT-DEBT OR LIQUIDATED DAMAGES
L.N.183/70. L.N.330/83.
(reverse)
PARTICULARS OF CLAIM
The Plaintiff's claim is for-
and the Plaintiff(s) abandon(s) any excess of his/their claim over $40,000.00 in accordance with the provisions of section 34 of the District Court Ordinance, Chapter 336.
Affidavit of Service.
make oath/do solemnly, sincerely and truly declare and affirm* and say that the within Writ was served by me on the said defendant(s) on the day of 19 by delivering a copy thereof to
Sworn/Affirmed at the Courts of Justice, Victoria/Kowloon/Fanling* District Registry, Hong Kong, the day of 19
Before me,
A Commissioner, &c.
Bailiff's Notes, etc.
* Delete whichever is inapplicable.
原告人之聲請
表格五
L.N.330/83.
訴訟書----欠款或算定賠償
(背頁)
聲請事項
原告人根據香港法例第三三六章地方法院條例第三十四條之規定，對其索償數額中，凡超出四萬元之溢數，俱予放棄。
訴訟書送達宣誓書
本人...誓*/本人經於...年...月...日...將訴訟書送達前述被告人，將該訴訟書一份送交...
執達吏記錄
於維多利亞/九龍/粉嶺*地方法院登記處在本席前宣誓在案
年...月...日
宣誓官
* 不適用之處請予刪去。
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