4
SCHEDULE.
[ss. 3 & 6.]
Name in full (surname first)
Sex
or widow
Particulars of Birth:
Country in which born
County, Division or State
age
single, married
City, Town or Village
Date of Birth
Nationality
Proposed length of stay in the Colony
Particulars of Passport:
By whom Issued
Place
Date of Issue
Date of Expiry..
No. of Passport
Particulars of visa valid for Hong Kong.
By whom Issued...
Place
Date of Issue
Date of Expiry
Local residence and telephone number
Profession or occupation
Name of employer (if any)
Business address and telephone number
Nature of employer's business
Futher particulars tending to establish identity, nationality and
occupation
Signature
Date
19......
Photograph
Witness
Address