Schedule D.
Application for a House to be registered as a Common Lodging-House
I, the undersigned, hereby make application to have the under-mentioned premises registered as a Common Lodging-House, under the Public Health Ordinance of 1887.
Signature of Applicant.........................................
Address,
Hongkong,
189...
Situation of premises sought to be registered as a Common Lodging-House,.........................................
The number of floors to be used as a Common Lodging-House,
The number of rooms set apart for lodgers,.........................................
Cubic capacity of Room No. 1,......................................... cubic feet.
Do. do. No. 2,......................................... cubic feet.
Do. do. No. 3,......................................... cubic feet.
Do. do. No. 4,......................................... cubic feet.
Do. do. No. 5,......................................... cubic feet.
Do. do. No. 6,......................................... cubic feet.
To the Registrar General,