1955-HKRS28-8-22_Part03 — Page 18

Authenticated Laws 確真本香港法例 All

16

VACCINATION CERTIFICATE FOR CHOLERA.

International Certificate of Vaccination or Revaccination Against Cholera.

Certificat International de Vaccination Ou De Revaccination

This is to

certify that

Ja somasigre (e)

certifie que

whone signa-

ture follows

dont la

Contre la Cholera.

17

,

Passed the Legislative Council of Hong Kong, this 14th day of September, 1955.

date of birth ne (o)

Keskkonna sex

}

Deputy Clerk of Councils.

(Secretariat 1/2961/46)

has on the date indicated bean vaccinated or révaccinated against cholera.

a ste vaccine (e) ou revaccine (e) contre le cholera a la date indiques.

Date

Signature and professional status of vaccinator.

Signature et qualite" pro fessionnelle

du vaccinateur.

Approved stamp.

Cucket d'authentification.

4

5

8

1

*

TA

8

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