1962-HKRS30-8-53_Part02 — Page 37

FORM 5.

(to be endorsed on reverse of Form 2 or attached thereto).

Endorsement to Authorize Experiments without Anaesthetics or without Deströying the Animal.

[re]

By virtue of section 10 of the Animals (Control of Experiments) Ordinance, 1963, the holder of this Licence is hereby authorized to perform the type experimentis), at the place(s), for the period and subject to the conditions here inafter mentioned, without administering any snacathetic to the animal cont or without killing the animal concerned before it recovers from the influence of any anaesthetic administered.

Type of experiment(s).

Placef's) where experiment(s) may be conducted.

Name of License;

FORM 7.

Return of Experiments.

No. and date of Licence; Period covered by return: From

Number of Experiments conducted

Place(s) whore

performed

Kinds and number of

animals used

To

Purpose of experiments (eg. manual skill 3

illustrating lectures 5, etc.)

[reg. 5.1

Amy teaching permilts, lectores and other endorse- ments applicable during the period

Period of this permit.

From:

Conditions.

Dated

To:

196

Licensing Authority.

FORM 6, Record of Experiments.

[re 4

Name of Licensee:

Date of experiment

Placa where performed

Animal Purpose of used experiment

If animal dead, state how died

Nature of experimenu (if performed under teaching permit or under special endorse

this should

be stated).

n

Dated

196

Signed

COUNCIL CHAMBER,

23rd May, 1963.

(Secretariat GR3231/57)

Clerk of Cenincils.