A 36

CAP. 163]

Money Lenders Regulations

[1988 Ed.

[Subsidiary]

FORM 5

MONEY LENDERS ORDINANCE

(Chapter 163)

STATEMENT IN SUPPORT OF AN APPLICATION BY A COMPANY FOR A LICENCE

(To be completed in triplicate)

[ss. 8(1) & 34]

Please answer the following questions-

(If there is insufficient space provided for your answer, please continue on a separate sheet of paper, specifying the question number to which your answer relates, and add your signature.)

1.

(a) Has the company, or its holding company or any subsidiary or associated company, ever previously made application for a licence under the Money Lenders Ordinance?

(b) If it has, state-

(i) the date(s) of application

(ii) whether the application was successful (answer "yes" or "no")

(c) If any such application was unsuccessful state the reason, if known to you

2. (a) Have any of the directors or other controlling persons of the company ever been convicted of an offence, other than a traffic offence, in Hong Kong or elsewhere? (answer "yes" or "no")

(b) If so, give the following details-

Name of the director or other person The offence The penalty (if any) imposed The date of conviction The name of the court which tried the offence 2 5 6
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