1949-HKRS28-8-16_Part03 — Page 29

Form 3 (a) (Rules 11-12)

Identity Card $62

ENDORSEMENTS

Form 3 (b) (Rules 11-12) Counterfoil

Changes of permanent residence or Address of employment.

Hong

Kong

Registration of PerSOKS

RULES, 1949

Form 3 (RULES 11-12)

身份證

(1) Employers Serial No:

(2) Name (in English)

(3) (in Chinese)

(4) Address (in English)

(5) (in Chinese)

Employment

Address (in English)

(in Chinese)

of issue Issuing Officer's Signature,

(1) Employers Serial No:

(2) Name (in English)

(3) (in Chinese)

(4) Address (in English)|

(5) (in Chinese)

Employment Address (in English}

Form 3 (b) (Rules 11-12)

Counterfoil

1 2 3 4 5 6 7 (6) Age (7) Sex

(8)

Race

- 16

Form 3 (0) (Rules 11-12) Identity Card 身份證

1 2 3 4 5 h

(6) Age (7) Sex

Changes of permanent residence or Address of employment.

Embossed

(8) Race

(9) Nationality Claimed

Photograph

Photograph

(0) Nationality

Claimed

(10) Occupation

¦ Thumb Print.

Thumb Print

(10) Occupation

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