B &

CAP. 109]

Dutiable Commodities (Liquor) Regulations

[1987 Ed.

[Subsidiary]

39 of 1985, s. 60.

L.N. 30/73.

SCHEDULE

FORM 1

[regs. 15 & 22.]

No.

Application for Liquor Licence (or Transfer of Liquor Licence)

Name of applicant

Address

Nationality

Has held a licence for

Description of premises to be licensed

Licensed premises to be at

Its name or sign to be

Whether or not a bar is to be kept on the premises

Whether permission for dancing is desired

Whether premises to be used as a hotel

To the LICENSING BOARD,

years.

I give notice that I intend to apply at the next meeting of the Board for a liquor licence (or for transfer of a liquor licence) in respect of the above-named premises.

Date

(Signed)

19

+1

We, the undersigned, having resided in Hong Kong during the whole of the 10 years immediately preceding the date of this application, and being in no way directly or indirectly connected with the sale of liquor to the applicant, certify that the above-named applicant is a person of good fame and reputation and fit and proper to hold a liquor licence.

(Signed) 1.

(Address) (Date)

19

2.

(Address) (Date)

19

FORM 2

酒牌

Liquor Licence

[regs. 17 & 21.]

【規條第一七及第二一條】

Name of Licensee

持牌人姓名

Name or sign of licensed premises

牌照所指樓宇之名稱或商號

No.

牌照編號

Address

地址

Description of licensed premises

牌照所指樓宇之用途

Period of licence, from

牌照有效期間:由

Fee $.......

牌照費:

年 月 日起

to

年 日止

Photograph of Licensee

持牌人照片

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