1987 Ed.]

Immigration Regulations

[CAP. 115

A 21

[Subsidiary]

WHEREAS

兹因

of

其地址為

FORM NO. 11

表格第十一款

IMMIGRATION ORDINANCE

人民入境條例

(Chapter 115)

(香港法例第五章)

Section 55(2)

第五十五款第(二)段

RECOGNIZANCE

具保書

is required by the Governor in Council under section 55(2) of the Immigration Ordinance to enter into this recognizance on the recission by the Governor in Council, subject to the condition(s) specified below, of the deportation order made against him:

現已由總督會同行政局根據人民入境條例第五十五款第(二)段飭令其須於總督會同行政局在下開條件下撤消其遞解出境令

Now-

時,簽署此具保書:

the said

of

其地址為

of

其地址為

and

者;與

hereby acknowledges/acknowledge that he/they severally will pay to the Crown

茲承諾,如遇其(上文首述人士)不遵守所規定之條件者,則彼/彼等須分別繳付下開款項與政府

the said

the said

the said

if the said

至於上述該

following condition(s):--

條件為

Signed by---

本具保書由

the said

the said

the said

on the

於一九

in the presence of ......

the sum of $....

應繳付

the sum of $...

應繳付

the sum of $..

應繳付

fails to comply with the

所須遵守之

19

day of

面前簽署。

* Delete where inapplicable.

* 請將不適用者刪去。

Signature.

簽署

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