TRANSLATION.

79

Chu, specially appointed Commissioner for Foreign Affairs

for Kwangtung:- in the matter of the issue of denationali-

zation certificates:

Whereas application has been received from

stating:

"I am

• province

years of age, and my native place is

district

in....

village, and I now wian to change my nationality to that

of......

"Provided I receive from the Chinese Government sanction

to do this, I undertake to observe the requirements of section

3 of the provisional regulations for the issue of donationali-

zation certificates which provides as follows: Chinese who

have obtained certificates of denationalization may only

carry on trade and purchase land in the treaty ports. Those

who already own land in the interior must sell it forthwith,

so as to avoid their being able to avail themselves of the

special privileges under the treatics with resultant compli-

cations.

I therefore request the issue of a donationalization

certificate".

This Bureau having investigated the matter and found the

facts as stated now issues this certificate to be retained

by the applicant as proof of his status.

Issued to

Date.

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