1949-HKRS28-8-16_Part03 — Page 27

12

SCHEDULE.

13

Employer's Sheet

Serial No:

Form 1 (4). (Rule 4).

Registration of Persons Rules, 1949.

Identity Card No:

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,

和小人如署名於後之僱主茲依照一九四九年人口登肥則例之規定證明下開所關於後 受絫任用之懒以共者事項均屬間店北並在明在所附表格

q-^W^).

(b)...

張之內会已將其所報家內人口足十二歲以上者各項保清脆實猋明

(c) NAME OF Employer or Firm :

*Ed

Signature of Employer,

假我姓名城店名

#

(d) ADDRESS of Employer or Firm :

Date :

扫刷

(1) (a) Employer's

1

Form 1 (b) (Employer should

not

(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)

僱主不可在此處填窺任何更嗩(X)

R(-)(2)MITZIRRRLEM()

(P)@(-XZ)#N/

()() Employer's reference number

for Employee:

** G

52

Identity Card No.

(1)(b) Subsidiary Serial No. for members of family of the

age of twelve years and upwards:

確全家屬三十二歲以上者之分新婚虎數

has been photographed and should produce this receipt when called

upon to receive his Identity Card.

Received Identity Card of

above reference.

Thumb Print.

你去之快址或店址

(e) Designation of Person Signing Above:

LU $ &* * * *

reference number

for employee:

僱主所給予該儺貝之號

(2) Name (in English);

* * * *

(3) Name (in Chinese characters) :

中文姓名

(4) Address (in English) :

英文址

(5) Address (in Chinese

characters);

(6) Age last birthday :

£ * †

(8) Race (if Chinese write "C" or if of other race write in fuli} : **RETRATBELTH

(0) Nationality (if Chinese write

"C" or if of other nationality

write in full) :

HAHAHJAUX LPBFC"

字悯屬外國國輔則寫明是何

(10) Occupation:

職

(1) (8) Subsidiary Serial No. for members of family of the age

of twelve years and upwards :

MAGWA+ 以上之分編覚

(7) Sex (M. or F.):

性別

+

Date :

Signature.