WHERE APPLICANT
GLAIMS QUALIFICA-
TION UNDER-
(2) he must state hiz
6
Form 2-Continued.
如申請人聲叙其資格策屬於
reason for exemption
或谿免日期
or give date of exemp-
culars of emission;
tion granted or parti-
(3) he must give name and #* (3) **» 185
address of the school
at which he is em-
ployed as a teacher, and number appearing on the Fern 6 (Certi ficate of Registration as a teacher) or Form
7 (Authority to e-
ploy an unregistered
teacher) isqued in respect of him under the Education Ordin- ance, 1952;
(4) be most enclose
> KALA
(E)
性教師之權力)上 而由其收物者口
(d) by the addition after Form 2 of the following new
Form-
"(FRONT)
FORM 24.
[rog. SA.]
URBAN COUNCIL ELECTIONS (REGISTRATION OF ELECTORS) REGULATIONS, 1955.
OFFICIAL PAID
Notice of intention to remove a name from the register.
To
To the Elector known as
of
Elmeloend letter
LC
athed number
Box M
Surname
and far
SEBUTHOR ON
Th Amaliuth
and fore
e.
in Things
Helden-
tim address
Qualification, *gh_n 15, pura. (a), (b), (dek,
Hong Kong /Kowloon.
~一九五五年 政局推伊第十五歇(乙》 項之規定開發之新明嚟。
certificate from the Head of hia Depart-
關
ment under the proviso
wection 15 of the Ur-
ban Council Ordinance, 1955:
to paragraph (b) of
I have reason to belleve that your name should not appear, on the register of electors to the Urban Council because your decease/departure from the Colony has been reported to me
PLEASE TAKE NOTICE that if you do not complete and; return to me within 14 days of the date of this notice the attached form, it is proposed to remove your name from the register of electors.
(5) he must enclose » $ (5) ##› BRE
certificate under para-
graph (d) of section lá
of the Urban Council
Ordinance, 1955.
进 政局康例第十
(T)IZREN
LISTED POLLING STATION WHERE APPLICANT
WOULD PREFER TO VOTE.
*U**A*#*92***
I DECLARE THAT THE ABOVE PARTICULARS ARE CORRECT
·
AND THAT ON THE 18T DAY OF JULY, 185 I WAS OVER 21 YEARS OF AGE.
本人选特圈明上列詳情全島真確,而在一九五 年七月一日時本人已超過二十
DATED THIS
- Asi
DAY OF
息
. 195
Dated this
day of
I
105
Registration Oficer,
To the Registration Officer, Hong Kong.
PLEASE TAKE NOTICE that I am entitled to continue to be registered as an elector. My particulare are...... FULL NAME (in English & Chinese)
ADDRESS
IDENTITY CARD NO.
QUALIFICATION
Dated this
day of
195
Signature of Applicant
申請人鍊"
Signature of Elector.
OFFICIAL PAID
To
Regis-
tration
Office.
Hong
Kong.