12
Page 3.
PARTICULARS CONCERNING THE DRIVER.
13
(1) A-Motor vehicles of which the laden weight does not exceed
3,500 kilog. (In all languages).
(2) B-Motor vehicles of which the laden weight exceeds ----
3,500 kilog
Surname
Other name$ commentti tam ----
Place of birth
Date of birth
Home address
Photograph
Seal of authority
Page 4. (Name of country)
EXCLUSION.
(2)
5663 S
M. (surname and other names) kami.
authorized as above by the authority of (country)
when composed betaRANS
is deprived of the right to drive in (country) segge k by reason of
Place
(In all languages),
0) C-Motor cycles. with or without side-car.
(1)
12)
0
44)
(In all languages).
-
FORM 1.
FORM OF FISCAL PERMIT UNDER 1911 CONVENTION.
Page J,
HONG KONG
INTERNATIONAL FISCAL PERMIT.
No.
GELAYANAN POLYAN JANA
INTERNATIONAL CONVENTION SIGNED AT GENEVA ON
March 30th, 1991,
[reg. 4.]
The present permit is issued with a view to the exemption from taxes or charges on the circulation or possession of major vehicles granted for one or more periods of stay representing a total period of not more than ninety days spent in cach of the countries to which the said Convention applics. The permit
only valid for one year from the date of issue.
The present fiscal permit is issued to
Dypon na arantija Comet)
living at
joka memang pada Tekn
for the motor vehicle with the following description:
Seat of authority
Date incommommerskiona tarijimet
Signature
Page 5 and following pages should repeat the particulars given on page translated into as many languages as may be necessary to enable The International Permit to be used in all the Contracting States mentioned on page 2.
Type of vehicle
Make of chassis
Number of chassis
A (1)
Scat of (authority,
Here begin last page.
@ (2)
C
Seal of authority,
Scal of authority
(2)
(2)
(0)
Number of engine
(4)
Registration number on the plates of the country issuing the permit Place and date of issucionamento.......
(3)
(6)
调最章
Stamp of authority
These word
s
Appeau Ca
the cover.
* Sarude and other momes of the owner or posmeSSOR.
** Town, sweet, member,
*** Simware of authority of of the organization designated for the mureosa.
* Visa of acibority.
↑ In
permit_Rssued by some oiber country the name of that country wid appear inwest and the pema will be drawn up in the Inguage of that country.