14
Identity Card
No:
15
Identity Card No.
Form 2 (a). (Rule 1)
Registration of Persons Rules, 1949. Form 2 (APPLICATION FORM).
Pursuant to the provisions of the Registration of Persons Ordinance, 1949, 1, the undersigned, do hereby certify that the following is a true record of the particulars in respect of myself as on the (4)......................... and that in the attaclied (b)................................ sheets is recorded the information truly given by me in respect of members of my family of the age of twelve years and upwards.
無冰人口署名於後之人茲他們一九四九年人口登出则例之規定在明下開所錄關於全 AZGĦMEL (^)-
将棋術無北並明在格().. 註明余家内人口是十二歲以上者近報告於东之各急情
·張之內包
Signature of Applicant.
DM A
Date :
# 0
+
*
Form 2 (b) (Applicant should not (Rulo 12)
make any entry here WMAZWARENE—X® ) except at (1) (a) or (b) *(-) (2) [THEIRERLA¿(-) which should be the (@(-XZ)#NX
same as the entry at (1)
(a) or (b) above)
(1)(a) Applicant's Reference
No:
申請人自己之科學地
(1)(b) Subsidiary Serial No, for
members of the family of the
age of Twelve years and
upwards:
擢以三脚起十二歲以上之分
has been photographed and should produce this receipt when
called upon to receive his Identity Card.
Signature of Registration Officer.
* 2 # 7
(1) (4) Applicant's Reference No. (1) (b) Subsidiary Serial No. for
申請人自已之4號
members of family of the age
of twelve years and upwards: 深圳家屬三十二歲以上,除之發號
(2) Name (in English);
* * * *
(3) Name (in Chinese characters) :
* Z * *
(4) Address (in English):
* * * *
(5) Address (in Chinese characters) :
小悦址
(6) Age last birthday:
* * * *
(8) Race (if Chinese write "C" or if
of other race write in full):
我個渠中國人可寫英文字中C"字 我從地寫明為何種露)
(0) Nationality (if Chinese write "C"
or if of other nationality write in
full):
阅瓤伯屮國務可寫英文字
但係別國國籍者即寫明址何國)
(10) Occupation :
(7) Sex (M. or P.)
性的
+
Received Identity Card of
Thumb Print.
+
above Reference.
Date :
Signature.