1987 Ed.]
Pharmacy and Poisons Regulations
[CAP. 138
A 69
DECLARATION OF APPLICANT 申請人聲明
I hereby declare that to the best of my knowledge and belief the information given in this application is correct.
兹聲明:據本人所知,本申請書所填資料,均屬正確無訛。
Date: 日期:
Signature: 簽署:
Forensic
Date Rec'd 收件日期
Classifica-tion 法醫學分類
Fees Paid 註冊費用收訖
For Office Use Only 只供本辦事處填寫
Registration Approved 註冊獲准
Certificate Issued 證明書已發
Registration 註冊
[Subsidiary]