FIRST COLUMN.

Name and address of employee.

Total amount owing to employees.

SCHEDULE.

SECOND COLUMN.

Amount of wages and! ort other moneys owing to employee.

THIRD COLUMN.

Reason for which moneys owing.

7

[and the other persons referred to in the application) is/are/was/were(1) The employee/employees) of (name of employer], and that there is probable cause for believing that the said [name of employer] is about to leave the Colony with intent to evade payment of the sum of [amount of debi] being moneys earned by and owed to such employee/employees(1);

This is therefore to command you, in Her Majesty's name, forthwith to apprehend the said [rame of employer) and to bring him before a District Judge to show cause why be the said [nume of employer) should not be required to give security in accordance with paragraph 5 of Part I of the Second Schedule to the Employment Ordinance, and to be further dealt with according to law,

Dated this

day of

Dated this

day of

[L.S.]

19

Never (0) Delete whichever la Imappi|ca|é.

* Delenc # inapplicable.

19

District Judge.

L

Applicant.

AFFIDAVIT IN SUPPORT OF APPLICATION.

make oath/do solemnly, sincerely and truly declare and affirm) and say that the facts stated in paragraph 2 of the above application are correct to the best of my knowledge and belief.

Sword/affirmed at the Courts of Justice, Victoria/Kowloon/Fanling) District Registry, Hong Kong, the

day of

Before me,

A Commissioner, dc.

More (0) Deless whichever is inapplicable.

19

PART IL

FORM 2.

[Employment Ordinance, Second Schedule, Part I, paragraph 3]

WARRANT FOR APPREHENSION OF ABSCONDING EMPLOYER.

[Title as in Form 1.]

To each and all the police officers of the Colony of Hong Kong,

FORM 3.

[Employment Ordinance, Second Schedule, Part 3, paragraph 5.]

BOND TO SECURE PAYMENT OF WAGES DUB TO EMPLOYEES BY Employer.

1/Well) [name of employer] of [address]. Iname of surety] of [address], and [name of surety] of [address], is/are(1) bound to [stame of employee] [and the other employees of (name of employer) specified in the application of (name of applicant) made on the

day of

19

to District Judge

under section

34A of the Employment Ordinance) in the sum of $ to be paid to [tame of employee) (and the said other employees)?) or his their respectively executors, administrators or assignees; for which payment to be made I/we jointly and severally bind myself) ourselves(1). and my/our respective()) heirs, executors and administrators.

In witness whereof 1/well have hereto set my hand and sealfour hands and sealg this

day of

19

The condition of this obligation is that if (name of employer) appears before a District Judge whenever called upon until he has puid [uame of employee] [and the said other employees] the full amount of $ specified in the application, then this obligation shall be void but this obligation shall otherwise remain in full force.

Signed, sealed and

delivered in the

presence of

[Employer] (LS)

{Surety]

(L.S.)

[Surety]

(L.S.)

of

19

Whereas I am satisfied, on application made on the

by (name of applicant) that the applicant

day

Mon (0) Delete whichever is taapplicable. (2) Delete if laxpplicable, "",

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