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FORM 5

[reg. 8(1).]

LICENCE FOR POSSESSION

Photograph

of

Licensee

Usual Signature of Licensee.

ROYAL HONG KONG POLICE

Licence Number

Licensee's Name

Address

H.K. Identity Card Number

The above named person is hereby licensed to have in his possession for the period specified in Part I hereof, the arms and ammunition described in Part II hereof, subject to the conditions set out in Part III hereof.

Date of First Issue:

Date of Expiry:

Fee Receipt No.:

for Commissioner of Police.

PART I

Period of validity of licence

Date of Renewal

Date of Expiry

Fee Receipt No.

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