+For the manufacture of
by
Sufficient for
Installation of
C. & 1. 54(a)
months/days
Replacements for machinery in the Maintenance of
Form 3
[Reg. 3(3)]
GOVERNMENT (Crest) of HONG KONG
DECLARATION IN SUPPORT OF AN APPLICATION FOR AN ESSENTIAL SUPPLIES CERTIFICATE
List can be attached if necessary (in triplicate) †Delete where necessary.
factory of Hong Kong.
+For the construction of
by
For controlled sales-
†(4) on a unit by unit basis by the
approved importer/dealers/ retailers with prior approval of the Director of Commerce and Industry in each case.
†(b) by the importer in limited quantities to legitimate Hong Kong consumers.
(c) by the importer through approved dealers and or re- tailers in limited quantities to legitimate Hong Kong
consumers.
I attach supporting declaration(s) (C. & 1. Form 54(4)/(b)) and a copy of the order on my supplier for the said goods.
(Signature & chop)
(Importer)
I
behalf of Messrs.
for and on
of Hong Kong hereby declare that I have entered into a contract with Messrs.
་------
of Hong Kong for
of
(Quantity)
and that I shall not re-export or sell the said goods which are required exclusively for--
(a) use in my
at
for the manufacture of
over a period of
(in order to fulfil contract(s) No(s).
factory
months/days
placed by (Delete (a)
or (b) as necessary)
Date
Tel. No.
for export to
or (b) the construction of
at
(See Note below)
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