1987 Ed.]

Immigration Regulations

Travel document No.

旅遊證件號碼

Place and date of issue 簽發地點及日期

Nationality

國籍

PART B 乙項

Date of birth 出生日期

day 日 /month 月/year 年

Address in Hong Kong

香港地址

Place of birth

出生地點

Home address

住址

Flight No./ship's name

班機編號/船 名

Destination

最終目的地

Signature of traveller

旅客簽名

[CAP. 115

P.T.O. 轉後頁

All travellers should complete Parts A and B except that travellers to Macau who are not Macau residents need complete only Part A

所有旅客均須填寫申項及乙項,但前往澳門旅客,如非澳門居民者,則只須填寫甲項:

FOR OFFICIAL USE ONLY

此欄由本處填寫

Information for Hong Kong Tourist Association 供給香港旅遊協會資料

Are you travelling with a group of 10 or more?

你是否參加十人或以上之旅行團?

Yes

No

A 7

[Subsidiary]

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