1967-HKRS30-8-58_Part01 — Page 2

IMPORTANT.

The following notes should be read before completing the Form. Note 1. If your name appears in the current Register of Electors, you are

not required to apply again on this Form.

Note 2. This Form may be completed in English (in BLOCK. LETTERS)

or in Chinese.

Note 3. You may be eligible to claim registration under more than one category. If so, choose the one vader which you prefer to be registered.

Note 4. Laser in the appropriate place in this Form, the information

required against the chosen category.

Note 5. You are required to sign the Declaration in paragraph 2 of this Form. With regard to paragraph 2(c) of the Declaration mere temporary absence from the Colony (whether for business, holiday or any other reason) during the three years preceding the date of this Application does not necessary mean that you were not ordinarily resident in the Colony for those three years.

Note 6. Your attention is also drawn to the fact that, if you are registered, you will be registered in that part of the Provisional Register

Notice of intention to omit a name from the register.

Urban Council Elections (Registration of Electors) REGULATIONS.

WHEREAS it appears to me that

in which case your name should not appear on the register of electors to the Urban Council;

PLEASE THEREFORE complete, sign and relum to me, within 14

days of the date of this notice, the part of this notice which 1 addressed to me.

TAKE NOTICE that if you do not do so, your name will mor be

included in the forthcoming register of electora.

DATED this

day of

TO:

The Elector known as

19

(Registration Officer),

Electoral letter & No.