1965-HKRS30-8-56_Part04 — Page 29

D. Suome whether elle, married, widow or widower. Kitorand, mda- ried but Harin apan under

decree or

order of Caport

24

() What is your marital status?

GB) Is any person totally dependent on (1) you? Give full particulars including ages of children.

Dr Kunder 1

25

K. (1) Does the infant own the dwelling- house used by him as his home?

K. ()

(i) [F 60

(i)

and bake TERFODDO

What is the value of such dwelling- house?

deed of

separation, 01 Noch other

particolars N

may be appro- perkare.

E.

Sc

wpistely thec

t

of the leamG

of the appli.

cant and al се прошее.

F.

Slave all

Korunces of Income, e

Nalary or Wagged: memle of properties

bec incercar

TO,

gled in comple Inom conduc of Earth at

Excelentang |- come from

E. What was the amount of your incom

and (if married) the income of your spouse from all sources during the period of twelve mooths preceding the making of the within application?

F. () From what sources was auch in come derived?

GD) If derived from employment, set out the names and addresses of the various em- ployers during the perfod referred to above.

E.

keminen ETVOORNAAM NAAM Njemaga”

Jedna PRO POWER PROTEORIA JAMOASIAK

F. 6)

(i)

What is the value of his interest in such dwelling-house?

Qive particular of mortgages, charpes and other interests affecting such dwelling- house.

£. () What is the marital stans of the infant?

L Q

(1) Is any person totally dependent upon him? Give full particulars, including ages of children.

(hi)

M.

C

Baked or

Betting room

perukama, ere, eld.

Q. See not

bo paragrape

A akome s

"Do *'proper by".

A. India whether pPECIAL, CUBICLE, CLE.

1. See opte to DACAREERÈ A Above.

7. See pole la Paraph 2 mbova.

G. () Have you parted with any meal or personal property during the past twelve months? If so, give particulars.

(1) Have you ever been bankrupt or assigned your estate in any way? If so. give particulara,

H. What is your relationship to the infant on whose behalf you make the within appli- cation?

1. State particulars And value of all property of which such infant is possessed or to which he is entitled exclusive of the subject matter of the proceedings referred to in the application, the wearing apparel and tools of trade of the infant and the house- hold furniture used by the infant in his bome.

I. Give particulars of any mortgages, bills of sale or other charges existing in connexion with the property referred to in paragraph I above, and of any other financial liability to which the infant is subject.

G. (

(0)

H.

AppRadi

1

PLANTOLOOGELOON JA

Jerkana base detyrona EN TOEKENNgatan

Artworkerrendajakkarootstep

↓.

Merkur | down

X.

Se le po Marwach C Поч

1. See note to Paragraph D above,

M. What was the amount of the incorne of the infant and (if married) of bis apouso from all sources during the period of twelve months preceding the making of the within application?

N. (0) From what source was such in- come derived?

(0) If derived from employment, set out the names and addresses of the various em- ployers during the period referred to above.

0. (1) Has the infant parted with any real or personal property during the past twelve months? If so, give particulars.

(1) Has the infant ever been bankrupt or assigned his estate in any way? If so, give Particulars.

N. G

(1)

A40NOKKAAMMAMOULINELL

M. See note to parneruph B

HT. See ADE TO PS

F

abb

0. (0)

**E14246****-4moms, D. Sex Bole ta

paragraph O

(2))

And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declarations Act 1935.

Declared

at Hong day of

Before me,

Kong

this

19

1

Commissioner for Oaths.

Signature.