A 12
[Subsidiary]
CAP. 166]
Pawnbrokers Regulations
[1984 Ed.
1. That I am the borrower and/or* the owner of goods pawned in respect of the
following loan made with you-
Date of
advancing
money on loan
Description of goods
Rate of interest
Amount of loan
Duration of loan
2.
I no longer have the ticket relating to the loan in my possession for the following
reasons-
(give details)
And I make this solemn declaration conscientiously believing the same to be true.
Declared at day of....
*(delete as required)
Signed
in Hong Kong this
19........
Before me
Pawnbroker.
Directions to pawnbroker
In taking this declaration you should ask the person so declaring to confirm that
he is the person named and described in the declaration, that the contents of the
declaration are true and that the signature is his signature.
表格五
【規例第六條】
當押業條例(第十四條)
(香港法例第一六六章)
當押業規例
遺失當票宣誓書
致:(當押業商名稱)
本人(宣誓人姓名、身份證明文件類別及號碼)
居於(地址)
現