1969-HKRS30-16-29_Part07 — Page 15

PART 11.

Number of cases involving death and amount of compensation paid in

19 pun

(Note: Compensation paid in respect of previous incapacity

should be included in Part (II)

FORM 44.

Workmen's CompensatioN ORDINANCE

(Chapter 282),

Return to be completed by the Insurer.

Number of cases

Total amount of compensation paid

To the Commissioner of Labour, Hong Koog.

PART 1.

PART III.

Number of cases not involving death and amount of compensation paid

for incapacity.

Permanent

total incapacity

Permanent partial incapacity

Temporary incapacity

Cases coutin-

ued from previous years

Cases in which the first pay- ment of com- pensation was made during 19........

Total

And

CHURC

Kowal annot

|

duncker

CHE SCHMASHA-

dan paid

ulaa pikić.

Name of company

Address

umber

of cases

kerta kon1 al company-

ie padd

Signed

(Secretary or Manager).

Number of cases involving death and amount of compensation paid in 19

(Note: Compensation paid in respect of previous incapacity

should be included in Part (1)

Number of cases

Total amount of compensation paid

PART IL

Number of cases not involving dealb and amount of compensation paid for incapacity.

Cases contin-

ued from previous years

Cases in which the first pay- ment of com- pensation was made during 19.........

Total

Permanent

total incapacity

mumber

( 10:

THAT INDGUNDI

ulan pulat

Permanent Partial Locapacity

number

BONU

of compensu) » tom paid

Temporary incapacity

Butter

CISCH) KOTI-CHILOM.

KÉ KOTRUDICIJA »

flon paid