1949-HKRS29-8-16_Part03 — Page 21

12

SCHEDULE.

13

Employer's Sheet Serial No:

Form 1 (a). (Rule 4).

Registration of Persons Rules, 1949.

Form) (EMPLOYERS RETURN).

Identity Card No:

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,

和本人部署名於後之僱主茲依睺一九四九年人口登則之規定在明下開所開於後 列一九四九年)

受絫任用之儼以共各事項均屬貫茲此並在明在所附表格 張之內会已將其所職業內人口足十二歲以上者各項保情胞實鑫明

(b).

(c) NAME OF Employer og Firm :

Signature of Employer,

僱主姓名城店书

(d) ADDRESS OF EMPLOYER OR FIRM I

Date:

扫期

倔书之址或店址

(e) Designation of Person Signing Above:

上開缨名芝身份

(1) (a) Employer's

reference number

for employee是

僱主所給予該以之術號

{2) Name (in English);

(3) Name (in Chinese characters) :

(4) Address {in English):

(5) Address (in Chinese

characters) :

(6) Age last birthday :

(8) Race (if Chinese write "C" or

if of other race write in fuli}; 種(中人可以英文字珠

(9) Nationality (if Chinese write

"C" or if of other nationality

write in full):

悧(滋屮愒難可寫明英文学UC

不尙風外國國輔則寫明是何國

(H)) (Occupation:

職

(a) (6} Subsidiary Serial No. for members of family of the age

of twelve years and upwards: 但自家屬十 以上者之分

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

性 别

+

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)

僱主不可在此處填焱任何事項(一(甲) R(-)(2)HTIRMAK()

(PAC-XZ)#N/

(1)(a) Employer's reference number

for Employee:

所給予

號

Identity Card

No.

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

age of twelve years and upwards:

在家屬三十二歲以上者之分號數

has been photographed and should produce this receipt when called

upon to receive his Identity Card,

Received Identity Card of

Date :

above reference.

Signature.

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