196
THE HONG KONG GOVERNMENT GAZETTE.
Employer's Sheet
Serial No:
SCHEDULE.
Identity Card No:
SUPPLEMENT NO. 1, AUGUST 19, 1949.
Form 1 (b) (Employer should not
Identity Card No.
197
Form 1 (a). (Rule 4),
Registration of Persons Rules, 1949.
Form 1 (EMPLOYERS RETURN).
Pursuant to the provisions of the Registration of Persons Ordinance,1949, I, the undersigned employer, do hereby certify that the following is a true record of the particulars in respect of the undermentioned person employed by me as on the (a)
1949, and that in the attached (b)
sheets I have truly recorded the information given by him in respect of the members of his family of the age of twelve years and upwards.
余本人部署名於後之僱主茲依照一九四九年人口登記則例之規定証明下開所錄關於後 列一九四九年(a).
受余任用之僱員其各事項均屬其確無訛並証明在所附表格 張之內余已將其所報家內人口足十二歲以上者各項詳情照實繇明
(b)...
(c) NAME OF EMPLOYER OR FIRM:
僱主姓名或店名
Signature of Employer.
催 主 簽名
(d) ADDRESS OF EMPLOYER OR FIRM: 僱主之址或店址
Date:
日期
(e) Designation of Person Signing Above :
上署名者之身份
(I) (u) Employer's
reference number
for employee:
僱主所給予該僱員之編號
(2) Name (in English):
英文姓名
(3) Name (in Chinese characters):
中文姓名
(4) Address (in English):
英文:址
(5) Address (in Chinese
characters):
中文址
(6) Age last birthday:
足若干歲
(8) Race (if Chinese write "C" or
if of other race write in full):
種族(尙係中國人可寫英文字母
“C”字其餘則寫明屬何種族)
(9) Nationality (if Chinese write
“C” or if of other nationality
write in full) :
國森(倘係中國籍可寫明英文字母“C”
字倘屬外國國籍則寫明是何國籍)
(10) Occupation:
犍
靠
(1)(b) Subsidiary Serial No. for members of family of the age
(Rule 11) make any entry here except at (1) (a) or (b)
which should be the
same as the entry at 1 (a) or (b) above)
僱主不可在此處填寫任何事項(一)(甲) 或(一)(乙)則可填寫此係應與上開(一) (甲)或(一)(乙)相同者
(1)(a) Employer's reference number
for Employee:
僱主所給予該 之 僱員
翻 號
(1)(b) Subsidiary Serial No. for
members of family of the
of twelve years and
age
upwards:
僱員家屬足十二歲以上者之分編號數
has been photographed and should produce this receipt when called
upon to receive his Identity Card.
Received Identity Card of above reference.
of twelve years and upwards : 僱員家屬足十二歲以上者之分編號數
Dale:
(7) Sex (M. or F.):
性 别
Signature.
Thumb Print.
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