1971-HKRS30-16-30_Part04 — Page 28

64

(c) Full name and residential address of every owner of school-- 两,各校主之姓名及住址

0

(i)

of

現居於

of

現居輊

(d) Full name and residential address of every manager of the

school-

of

現腦終

(D

果

現居於

(iii)

of

現居軨

(v)

of

現居於

(v)

of

65

(*) Type of education provided by school:

()蝌桉所提供之數齋類型:

(i) kindergarten education;

(ii) primary education;

(iii) secondary education;

(iv) post secondary education; or

(v) other educational course.

(A) Address of school for purposes of correspondence-

學校訊地址

I attach a plan/diagram (specifying dimensions) of every premises

蒜特憖附上楼第二段(二)面所擲志征

specified in paragraph 26)

(e) Full name and address of landlord of every premises in which

主 記

蔗

school is operated-

地址

(1)

of

(0)

of

現居於

(W)

of

(iv)

of

現居於

(f) Full name and address of tenant of every premises in which school

舒 符 樓

is operated-

址

()

of

現婚

of

瓏轡於

of

(iv)

現居於

of

現居於

之姓名

Hong Kong.

n

九

年

月

19.

(Signature of applicant).

FORM 15.

淡菜第十五款

EDUCATION ORDINANCE 1971.

[*. 95.1

《辉例第九十五款)

STATEMENT THAT EXISTENCE OF A SCHOOL IS RECORDED UNDER

SECTION IS OF THE EDUCATION ORDINANCE 1971

The existence of the undermentioned school is recorded under section 下浊學校現日挝镞一九七

95 of the Education Ordinance 1971-

規定暫不在案

(8) Name in which school is operated:

((p on English) proge

(**)

(li} (in Chinese)