A 24
CAP. 91]
Legal Aid Regulations
[1988 Ed.
[Subsidiary]
FORM II
表格二
LEGAL AID ORDINANCE
(Chapter 91)
法律援助條例(香港法例第91章)
APPLICATION FOR LEGAL AID FOR AN INFANT 代未成年人申請法律援助的申請書
WARNING
It is an offence under the Legal Aid Ordinance punishable by a fine and/or imprisonment to make any false statement or representation or to fail to disclose any material fact relating to your financial means.
Your application for Legal Aid may be refused if you fail to co-operate with the Department or the Social Welfare Department in providing particulars of your financial means.
I,
我
of
住址為
警告
根據法律援助條例,如果你在申報經濟狀況時,作虛假供詞或陳述,又或隱瞞重要事項,即屬違法,可被罰款及/或被判監禁。
如果你在申報經濟狀況時,不與法律援助署或社會福利署合作,本署可拒絕你的申請。
infant and solemnly and sincerely declare that-
並以至誠聲明:
I.
My personal particulars are as follows--- 有關我個人的資料如下:
Name: Mr./Madam/Miss
姓名:先生/女士/小姐
Alias:
別名
Hong Kong Identity Card No.:
香港身份證號碼
Date of Birth:
出生日期
Residential Address:
住址
Correspondence Address:
通訊地址
hereby apply for Legal Aid for 現謹代未成年人申請法律援助,
Tel. No.:
電話號碼
Tel. No.:
電話號碼
Occupation:
職業
Name of Employer (or last employer if now unemployed).
僱主姓名(如目前失業,則填寫最後一名僱主的姓名)
Address of Employer (or last employer):
僱主(或前僱主)的地址
Tel. No.:
電話號碼