1971-HKRS30-16-30_Part04 — Page 12

(in Chinese)

(

*)

32

Approval Number

幫可黼进

(c) Name (Mr./Mrs./Miss):

(丙)姓名(先生/人/小姐]

(in English)

(* *)

(in Chinese)

(+ *)

咖凼

Approval Number #whwhlieee--assetol 認可號

() Name (Mr./Mrs./Miss}):

(T)姓名(先生/夫人/小姐)

(in English)

(* *)

(in Chinese)

(* *)

Approval Number

可

(2) Name (Mr./Mrs./Miss) :

(戊)姓名(先生/夫人/小姐)

(in English) roud1f4an日

(* *)

(in Chinese)

(+ *)

Sex NOTE 1.

4.

Approval Number

可

腆

1 recommend Mr./Mrs./Miss

to be the supervisor of the school.

咖

先生侠小蛆

5. It is proposed that the following registered teachers will be 五、菇類 鹣 任下 列愴

機車

employed in the school-

Name (Mr./Mrs./Miss)

姓名(先生/夫人/小姐, Residential

Registration

address

number

in English in Chinese

Proposed

monthly

salary

住址

注册腆蚊

燕女

中奖

雝給月薪

33

6 】 attach applications for permission to employ the following 冰式裁將本機疑聘任下列人出爲熊用 persons in the school as permitted teachers---

Applications so be 用峩格第十款酒 Schm plebbd ch 第十一颗城寫 Prom 10 or 11,

T.

t attach

Name (Mr./Mrs./Miss)

姓名(先生/夫人/小姐)

in English

烹

in Chinese 中

直

(a) the proposed syllabus for each class of the school, and

(8) the weekly time table for each class of the school.

8. I attach three copies of a plan/diagram (specifying dimensions)

嘴

of the premises in which the school is to be operated.

9.

I attach the certificates and notices required under section il(DIR)

of the Ordinance.

明知书。

10. The contents of this application are true and complete to the best

of my knowledge and belief.

(Signed)

上個人簽署

NOTE 1. The person recommended should be one of the applicants for 附註

NOTE 2. 附生二

registration as managers of the school.

d

Delete if the premises in which the school is to be operated

are designed and constructed for the purposes of a school.

書,觀何漸適

合而定。

See NOTE 1

閱附