ORDINANCE No. 3 OF 1874 . 1327
Chinese Emigration.
(C.)
Form of Notice to be given to the emigration officer offorfeiture ofa licence, under
section 6 paragraph 2.
SIR, -This is to give you notice, that the licence granted on the day of
187 9 to A. B. of t to act as an emigration passage broker, was on the day of
now last past duly declared by me (or us), the undersigned Justice (or Justices) of the
Feace to be forfeited .‡
Signatures
Place and date 187
To the EMIGRATION OFFICER,
Victoria, Hongkong.
† The personal and family names in full, with the address and trade or occupation of the party, to be here inserted.
Here state severally the reasons of forfeiture.
(D. )
Form of contract passage ticket, under section 6 paragraph 5.
I hereby engage that the Chinese named at foot hereof shall be provided with a passage to, and
shall be landed at, the port of in " in the ship or vessel called the "
with not less than 72 cubic feet and 12 superficial feet for berth accommodation (or in case of ships
under section 8, 54 cubic feet and 9 superficial feet) , and shall be victualled according to schedule
A to " The Chinese Passengers ' Act, 1855 ," annexed , during the voyage, and the term of detention at
any place before its determination , for the sum of dollars, and I hereby acknowledge to have
received the sum of dollars in full payment.
Male. Female.
Name of Passenger. Occupation. Native Place.
Age. Age.
Signature.
Passage Broker.
Victoria , Hongkong, the day of 187
I hereby certify, that I have explained and registered the above contract passage ticket.
Signature.
Emigration Officer.
Victoria, Hongkong, the day of 187 .