1956-HKRS30-8-46_Part04 — Page 33

WHERE APPLICANT

GLAIMS QUALIFICA-

TION UNDER-

(2) he must state hiz

6

Form 2-Continued.

如申請人聲叙其資格策屬於

reason for exemption

或谿免日期

or give date of exemp-

culars of emission;

tion granted or parti-

(3) he must give name and #* (3) **» 185

address of the school

at which he is em-

ployed as a teacher, and number appearing on the Fern 6 (Certi ficate of Registration as a teacher) or Form

7 (Authority to e-

ploy an unregistered

teacher) isqued in respect of him under the Education Ordin- ance, 1952;

(4) be most enclose

> KALA

(E)

性教師之權力)上 而由其收物者口

(d) by the addition after Form 2 of the following new

Form-

"(FRONT)

FORM 24.

[rog. SA.]

URBAN COUNCIL ELECTIONS (REGISTRATION OF ELECTORS) REGULATIONS, 1955.

OFFICIAL PAID

Notice of intention to remove a name from the register.

To

To the Elector known as

of

Elmeloend letter

LC

athed number

Box M

Surname

and far

SEBUTHOR ON

Th Amaliuth

and fore

e.

in Things

Helden-

tim address

Qualification, *gh_n 15, pura. (a), (b), (dek,

Hong Kong /Kowloon.

~一九五五年 政局推伊第十五歇(乙》 項之規定開發之新明嚟。

certificate from the Head of hia Depart-

關

ment under the proviso

wection 15 of the Ur-

ban Council Ordinance, 1955:

to paragraph (b) of

I have reason to belleve that your name should not appear, on the register of electors to the Urban Council because your decease/departure from the Colony has been reported to me

PLEASE TAKE NOTICE that if you do not complete and; return to me within 14 days of the date of this notice the attached form, it is proposed to remove your name from the register of electors.

(5) he must enclose » $ (5) ##› BRE

certificate under para-

graph (d) of section lá

of the Urban Council

Ordinance, 1955.

进 政局康例第十

(T)IZREN

LISTED POLLING STATION WHERE APPLICANT

WOULD PREFER TO VOTE.

*U**A*#*92***

I DECLARE THAT THE ABOVE PARTICULARS ARE CORRECT

·

AND THAT ON THE 18T DAY OF JULY, 185 I WAS OVER 21 YEARS OF AGE.

本人选特圈明上列詳情全島真確,而在一九五 年七月一日時本人已超過二十

DATED THIS

- Asi

DAY OF

息

. 195

Dated this

day of

I

105

Registration Oficer,

To the Registration Officer, Hong Kong.

PLEASE TAKE NOTICE that I am entitled to continue to be registered as an elector. My particulare are...... FULL NAME (in English & Chinese)

ADDRESS

IDENTITY CARD NO.

QUALIFICATION

Dated this

day of

195

Signature of Applicant

申請人鍊"

Signature of Elector.

OFFICIAL PAID

To

Regis-

tration

Office.

Hong

Kong.