7
HEREBY DECLARE—
(1) that ] was*/I was not* ordinarily resident in Hong Kong for the three years immediately preceding the 15th day of February last; and
(2) that I am not*/I am* disqualified under section 16 of the Urban Council Ordinance from being registered as an elector:
and
(3) that I am not*/1 am* disqualified under section 17 of the Urban Commeil Ordinance from being registered as an elector; and
(4) that I wish*/I do not wish* to be registered as an elector on
the forthcoming register of electors.
DATED this
day of
* Strike ow whichever ta konturaslicable.";
(Signature of Elector).
(6) deleting Form 5 and substituting the following-
2.
claim registration as an elector under category No. (see Note 3o because *I was registered as an Elector on the last previous final
register.
or
"I was, at any time between 15th February last and the 15th
June last a/an (see Note 4
(* Strike out whitchever di inapplicable de aer case),
DECLARATION (See Note 5)
I DECLARE:
(a) that the above particulars are correct; and
(b) that on or before the 15th June last I have attained the age
(c)
of 21 years according to the Gregorian calendar, that is to say, by Western reckoping; and
that I have ordinarily resided in Hong Kong for the three years immediately preceding
("delete one or other of these dates, as instructed in Note 5).
150808 February Teach 15th Fund dem"
"FORM 5.
[rea. 13.]
Application for inclusion in the final register of electors. URBAN COUNCIL Elections (REGISTRATION Of Electors) Regulations, APPLICATION FOR INCLUSION IN THE FINAL REGISTER OF ELECTORS,
DATED this
day of
19
(Signature of Applicant).
IMPORTANT.
Please read the notes on page 2 before completing this Form.
1. 1. (particulars given hereunder--see Note 2)
Surname in English ar shown other namer in English as shown on Identity Card
on Identity Card
A person who knowingly and wilfully makes or signs a Declaration which is untrue in any material particular commits an offence.
or
Surname in Chinese as shown other names in Chinese as shown Jon Identity Card
on Identity Card
| H.K. Identity Card. Ne.
Residential address
Sex
Telephone number
Business or occupational address (State Telephone number name of firm, organizations, or whether self- employed)
Page 2.
IMPORTANT.
The following notes should be read before completing the Form. Note 1. If your name appears in the current Register of Electors, you are
not required to apply again on this Form,
Note 2. This Form may be completed in English (in BLOCK LETTERS)
or in Chinese.
Note 3. You may be eligible to claim registration under more than one category. If so, choose the one under which you prefer to be registered.
Note 4, Insert in the appropriate place in this Form, the information
required against the chosen category.
Note 5. You are required to have a three years' residential qualification. as indicated in the Declaration at paragraph 2 of this Form. Two dates are given in that Declaration, namely "15th February last” and "15th June last”. If you claim to be registered by reason of