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(1) Your Petitioner's full name is
Falk.
(2) His address is
& Co.,Ltd.
Charles William
c/o Messrs. Jardine,Matheson Hong Kong
(3) His trade or occupation is that of a Master Mariner
(4) His place of birth is
(5)
-
Mariestad, Sweden, He
was born on the 18th day of July 1874.
His nationality is Swedish.
(6) Your Petitioner is unmarried.
(7)
The name of your Petitioner's father (who is now
dead) was William Falk, and that of his mother (who is also dead) before her marriage was Sofia Peterson. Both of Petitioner's parents were Swedish.
Your Petitioner therefore humbly prays
that your Excellency may be pleased to
grant him a Certificate of Imperial
Naturalisation under the British Nationality
and Status of Allens Act (4 & 5.Geo.5.cap
17 Sec. 8 (1). )
And your Petitioner will ev er pray
etc.
DATED
this 20th day of September 1917.
WITNESS :-
(sa)
E.J.GRIST
(sa)
C.W.FALK.