1971-HKRS30-16-30_Part04 — Page 25

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particular and which he knows or reasonably ought 實,而酵人耀明知葳有理由獳知燕群失 to know is false in such particular,

shall be guilty of an offence and shall be liable on conviction

襟定罪 可

*

•

to a Bne of twenty-five thousand dollars and to imprisonment

for two years,”.

J

FORM 11.

(s. 49121)

波機第十一款《條例第四十九彰第(二)段) EDUCATION ORDINANCE 1971.

APPLICATION FOR PERMISSION TO EMPLOY AN Ünregisterbo TRACHEA WHO HAS PREVIOUSLY BEEn Employed AS A PERMITTED TEACHER.

59

1. I request permission to employ--

本人五前凉准予聘任下述人士

-

Name koowa to Education Department:

(Mr./Mrs./Miss)

(先生,夫人/小姐]

(in English)

(in Chinese)

Residential address

住址

Permined Teacher Reference Number

as a permitted teacher in the reinigteskuerentii

2. Proposed subjects to

be taught by such person:

School.

Proposed classes to be taken by such person:

(To be completed by the supervisor of the school in which it is desired

to employ a person as a permitted teacher or, in the case of a proposed 如愫正在申請註冊學校,讓本表搭照由學校注册电池 school, by the applicnat for registration of the school)

(10) (ii)

3. Proposed monthly salary of such person: .............................................

4. In my opinion, there is no suitable registered teacher available

for employment as a teacher in the school.

Address for correspondence (see

Signed full face 在此贴上攔 photograph of

供本校性用

NOTE 1.7

3. I affix above a signed photograph of

五、本人已在上面貼上藜粞

and attach two signed copies of such photograph to this form.

Sep NOTE 2 參閱附註二

proposed teacher 署之正面半

to be affixed here.

身關片

The Director of Education,

Education Department,

Hong Kong.

謹致香港教育,

者:

Telephone Number

Date

日期

(Signed) 簽署

TE

(Supervisor, or applicant for registration of school).

(監鷩成學挾注册申请人,

NOTE : If the school is already registered, this should be the address

附註。

of the school.