1958-HKRS30-8-48_Part01 — Page 34

15 Masa 2.

†Bee Note 8,

(e) Whether married or single

(If married or divorced or widowed woman insert-

(i) maiden name

(ii) husband's name

() Date of birth

(g) Place of birth

(A) Where educated with dates→→

School or Uniweradta

(

(7) Educational qualifications

(Certificates, diplomas, degreeER)

Froth Month Feer

*To Month/Year

$5. I declare that I have never previously been refused registration 18ee Note 4. as a manager of any school or se a teacher or been refused permission

to teach or having been so registered or given permission to teach had my registration or permission cancelled.

6. The contenta of this application are trus and complete to the best of my knowledge. Information and belief.

*Note:

()) Details of occupation(s) other than teaching since leaving

school, college or university

Note:

(Signed) „Ajuda oma pompsa companyia kumjua

This formo la uppropriate only in the case of puriçon who powers the qualifica.» Hanu det but in thestallation 47 of the regulations.

Two reforms are required. They must be becaäon of standing, ou, marabera of the Executive or Legislative Council, Jomtiem of the Peace, barristers-at-law. wolle. Faktery of religion, chartered or Incorporated accountants, persoas oo tha special fury flat, or reglotured teacher, doutors ur dentista ole, und kuwa known the applicant wall for at least these grede,

LC educational denisares we out available of the time of the application, (c) should be deleted and applicant may be røgnlegd to prodone them later for

Deo.

If "bpliewat bus been convicted of a ortalnal uffence affecting his character or refoped registration ela. the full cireunakaneen konnt be dudowed.

(A) Details of oil tesching experience—

13.

School (with makes month/yBBLE).

Clases taught. Bubjecta taught

The following persons who are/are not aware of the statements made on this form may be referred to as to my character-

J.

(a) Name kapkan tengd hæcapgame. Occupation

Address

(6) Name

PRODUKTORY PARADE

Occupation

Address

I attach-

(a) three signed photographs of myself.

(b) medical certificate,

$(c) educational certificates.

Identity Card No.

Photograph

1.

WARNING,

Attention is drawn to the provisions of the Education Ordinance, 1952, and particularly to-

Section #Jer

"The Director may refuse to register a person os a teacher if t appears to him that such applicant-

(7) In making application for registration as a manager or teacher or in any application under section 26 has made any statement or furnished any information which is false in any material particular or by reason of the omission of a material particular;".

and Section 17-

"Any person who...

(*) maker any statement or furnishes any information, whether auch statement or information be verbal or in writing, which is false in a material particular or by reason of the omission of a material particular, which he either knows or häs reason to believe to be false or which he makes recklessly-

2.

(1) in an application for registration of any nature herounder; shall be guilty of an offence and shall be liable to u fine of five thousand dollars and imprisonment for two years.".

Chinese Translations, if inserted in this form, are for convenience and in the case of any conflict between the translations and the English text, the latter shall prevail.