1971-HKRS30-16-30_Part04 — Page 17

Signed full face

在此贴上

photograph of

镰

applicant to be

簽署之正面

affixed here.

42

43

Address for correspondence . .

3. I am registered as a manager of the following other schools:

本人經註冊篇下列尬得按之枕诚:

()

4.

I affix above a signed full face photograph of myself and attach 四、本人回在上面貼上經簽署之正面來身镪片一蛋。並縫

Telephone Number

斷數

Date

日期

The Director of Education.

Education Department,

Hong KIỆN

致香港教育随

I. 1. being approved under section 24(1) of the Education Ordinance 一本大鳄棍撲

-

年黻背蟥例第二十四歲常 1971 to be a manager, forward the following particulars of myself, and

request you to register me as a manager of the undermentioned school. 如下,並刻准予註冊傋下遮墼熟之校薗:

Particulars—

(a) Name (Mr./Mrs./Miss);

[甲]姓名(先生夫人/小姐)

{in English}

(in Chinese)

(**)

(b) Residential Address

住

盐

(c) Approval Number

(可箱號

w

(d) Name of school of which. I wish to become a registered manager

W

(e) Address of school

(f) Special interest (if any) which I have in the school

two signed copies of such photograph to this application.

只

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

of my knowledge and belief.

(Signed)

申體人簽署

ENDORSEMENT,

The above-mentioned applicant is acceptable to us as a registered

manager of the school)proposed school referred to in the application.

Date

(Signed)

日期

Date

日期

Date

日期

(Signed)

(Signed)

Date

(Signed)

簽署

日期

NOTE I The endorsement should be signed by a majority of the manage- 附註 如梭巴册者

-

ment committee in the case of a school which is registered, or

by a majority of the proposed registered managers if the school 航者,則由註冊懋齋之遇 is not registered.

WARNING.

警告

Attention is drawn to the provisions of the Education Ordinance 1971

申髀人必濯注意

-

九七一年数撵瞞傩之規定下規

PRETNJAN

and particularly to--

wwwww

Sea NOTE 1.