14
Identity Card No:
15
P
Identity Card No.
Form 2 (8). (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 (a).................................. 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.
尔本人署名於後之人茲傕回一九四九年人口登記例之規定龇明下所焱開起全本 AZGĦBELO(A)-
TURHAKLEEŒMIK (). 我明余家内人口是十二歲以上,若所報否於乐之各地鐵,急情
Signature of Applicant.
OM A* *
ZAC
Form 2 (b) (Applicant should not (Rulo 12)
make any entry here 申請人不可於北城填寫任何事項,一(甲) except at (1) (a) or (b) *()()}NGHAIRDR2(–) which should be the (ROM(-XZ)BR&
same as the entry at (1)
(a) or (b) above)
(1)(a) Applicant's Reference
No:
申請人自己之料器龍
(1)(b) Subsidiary Serial No, for
members of the family of the
age of Twelve years and
upwards:
傑以家屬记十二歲以上者之分雙
has been photographed and should produce this receipt when
called upon to receive his Identity Card.
Date :
# 0
Signature of Registration Officer.
3 2 # 7 £
() (4) Applicant's Reference No. (1) (b) Subsidiary Serial No. for
24772 BY VEN
members of family of the age
of twelve years and upwards: #AZWKTIEN KAZANLIBEN
(2) Name (in English);
英文姓我
(3) Name (in Chinese characters) :
小火炸者
(4) Address (in English):
* * * *
(5) Address (in Chinese characters) :
中文忳址
(6) Age last birthday:
# # * #
(8) Race (if Chinese write "C" or if
of other race write in full):
和C個中國人可寫英文字中心"字 其餘地寫明為何種族)
(0) Nationality (if Chinese write "C"
or if of other nationality write in
full):
闵獑佊壌屮國霸可寫英文了同??
癎係到國國籍者即寫明是有國籍)
(10) Occupation:
職蹜
(7) Sex (M. or F.)
*
+
HP
Received Identity Card of above Reference.
Thumb Print.
Date:
Signature.