Certificate No.

Cancelled.

su 38415/12

(A.)

BRITISH NATIONALITY AND STATUS OF ALIENS ACT, 1914.

N & Co 862

CERTIFICATE OF NATURALIZATION

Whereas CHARLES WILLIAM FALK

has applied for a Certificate of Naturalization, alleging with respect to himself the particulars set out below, and has satisfied me that the conditions laid down in the above-mentioned Act for the grant of a Certificate of Naturalization are fulfilled in his

case:

Now, therefore, in pursuance of the powers conferred on me by the said Act, I grant to the said CHARLES WILLIAM FALK

this Certificate of Naturalization, and declare that upon taking the Oath of Allegiance within the time and in the manner required by the regulations made in that behalf he shall, subject to the provisions of the said Act, be entitled to all political and other rights, powers, and privileges and be subject to all obligations, duties, and liabilities to which a natural-born British subject is entitled or subject, and have to all intents and purposes the status of a natural-born British subject.

In witness whereof I have hereto subscribed my name this

day of

me

(Governor of Hongkong.

).

This Certificate has been submitted to me for my approval and approved by

Walling hous

(One of His Majesty's Principal Secretaries of State.)

Full Name

Address

PARTICULARS RELATING TO APPLICANT.

CHARLES WILLIAM FALK

c/o Mesra. Jardine, Matheson & Co., Ltd.

Trade or occupation Master Mariner.

Place and date of birth (where known -

Nationality

Swedish.

Mariostad, Sweden: 18th. July, 1874.

Married, single, or widower [widow] Single.

Name of wife

Name and nationality of parents

William Falk

Sofia Folk (nee Peterson)

son)}

Swedish.

FOR OATH see overleaf.)

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