A 28

[Subsidiary]

L.N. 183/82.

CAP.17]

Lands Tribunal Rules

[1983 Ed.

FORM 13.

表格十三

[rr. 49, 52 & 54.1]

〔規則第四九、五二、五四條〕

NOTICE OF APPLICATION TO LANDS TRIBUNAL UNDER

LANDLORD AND TENANT (Consolidation) Ordinance

根據業主與住客(綜合)條例而致送

土地審裁處之申請通知書

Pursuant to section

根據第

* Name, address and status of applicant:

申請人姓名、住址及身份:

Name, address and status of respondent:

對造人姓名、住址及身份:

Address and description of premises:

樓宇種類及所在地:

Term of tenancy:

租期:

Rent:

租金:

Names, ages and relationship to applicant of persons for whom occupation of

需居住該樓宇人士之姓名、年齡及與申請人之關係(如係根據

premises require (if application pursuant to section 53(2)(b)):

第五十三節(二)(乙)款申請者):

Other grounds and particulars:

其他理由及詳情:

Dated:

日期:

The applicant's address for service is

申請人之送達地址為

To: 1. The Registrar, Lands Tribunal

致:

土地審裁處經歷司

The respondent

對造人

(Applicant)

(申請人)

(Please add such other persons as may be required to be served)

(請列入其他需送達之人士)

* State whether status in relation to the premises is landlord, tenant or sub-tenant.

註明身份屬業主、住客或三房客。

Note: If you intend to oppose this application, you must file in the registry within

注意: 台端如對是項申請予以反對時,須在本通知書送達之日

14 days of the day of service of this notice a notice of opposition by means

起計十四日內將「表格十四」「反對通知書」遞交

of Form 14.

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