1971-HKRS30-16-30_Part01 — Page 18

$. Whether the applicant intends to prospect on his own account or as an employee of any other person, 五、申請人是否以自行研特性質而深糰,抑或

受徊於人而為之?

6

(1)

(2)

If he is in the employ of any

other person, state the namy,

nationality and address of such

名、國籍及地址

If the application is made by

an employes evidence of the employer's conscal

application.

The

(二) 国係受僱於人者,並提出證據以 証明懂生意作是羽申請

Whether the applicant has previously

made an application for a prospecting

licence, and, if so, whether any such

application was refused.

申請人以前爾否申請探鏽牌務,若餑申請 者,去是否不批准?

*.

A plan of the area be intends to prospect.

咁人投投精之地區圖則

9.

The minerals he intends to prospect for.

九、申鹼人擬探測之廣物名稱

Dated the

day of

19

日期

齦

月

日

FORM IT

(Signature of Applicant).

1.

Name of applicant.

申請人姓名

1. Nationality of applicant,

3.

Number of identity card. 三、身份號碼

Address at which notices may be served.

4.

Number of applicant's prospecting licence (if any),

五、申請人如持有不適牌滅,貫照號碼

1

Name of the compony, firm or

person (if any) which the applicant represents.

申请人保代表任何公司

謝,調為其名稱或姓名

7. Position or appointment beld by

applicant in relation to, or under,

such company, firm or person.

七、申請人從該公司,商行威人士剩下所擔任

之職或職務

Whether the area included is within

the area of a prospecting lisence, 八、本申請書所包括之地區是否在探業牌照所

包括之地區內

Whether the area has been prospected

by the applicant and if so, for what period and with what results,

九、申請人會否在該地區請?若有者。體到

明骤精期間及所得結果

9.

[reg. 3.]

海格第二款

[規例第三款]

Mining (GENERAL) RectiLATIONS.

Application for a Mining Licence.

蘇黼牌腰

To the Superintendent of Mines

Number of application

(To De MMA in by Ataxes Department).

(此欄由瞶務處填寫)

10.

十

11.

The mineral or minerals to be mined. 糅開採之鑛物名稱

។

Plan of the area covered by this application for a mining licence.

十一、採齮牌申請購所包括地區之圖

3