No.

Copy.

No. 11096.

When &

Name if

where born

any.

Sex.

COPY

OF AN ENTRY

IN A REGISTER KEPT IN THE COLONY OF HONG KONG

W

In terms of the Births & Deaths Registration Ordinance, 1934.

Name & Surname

of Father.

Name & Maiden Surname of Mother

Rank, or Profession of Father,

Signature, Description

& Residence

752

12th August

1921

126 Wellington Street, First

Chu Wai

Tai

Male

Chu Cheuing

U Lau Fung

Merchant

Floor.

When regist-

of Informant ered.

Signature of

Registrar

Chu Cheuing

Father,

19th

126 Wellington Sept. Street, First 1921

Floor.

C.M.W. Reynolds

Copy of an entry in the Register of Births in the Colony of Hong Kong this 14th day of June 1937.

True Copy.

SEAL

Registrar General of Births &

Deaths.

15

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