1971-HKRS30-16-30_Part05 — Page 32

2

2. Our marriage, which took place on the

九 年

day of

19.......... has been registered in accordance with

Part IV of the Ordinance and was subsisting on the appointed day 之蜆定而册, 且在指定日期“一九七一年十月七 (7.10.1971). A copy of the certificate of marriage (issued under section 9 仍然存在。我將礎明[憮榮傑第九款戆 of the Ordinance) is attached.

3. •Both of us have [One of us, namely

panoon... hast

4

]

a substantial connexion with Hong Kong.

FORM 9.

森格弟九歌

MARRIAGE REFORM ORDINANCE.

SECTION 16(2).

Notice of Cancellation of a Notice of Intention to dissolve a Marriage.

No.

號

af 19 4年份:一九

Dated this 日期:

day of

19.

年

月

日

Fee: $5.00

費用:五元

Delete whichever is not applicable.

静將不適用者曲去口

(Signature of husband).

Hong Kong Identity Card No.

Addresa:

地址

(Signature of wife).

Hong Kong Identity Card No.

reneeeeeevan a designated public officer.

lo "the Headquarters of the Secretariat for Home Affairs/

the Headquarters of the New Territories Administration/ the

District Office.

食府口

On he nkugint

day of

九

月

wife (stale natte kei

19......... my husband/

日

.......) and I gave you notice

in accordance with section 16(1) of the Marriage Reform Ordinance of 稠睡髋傩第十六款第(一)段 向

our intention to dissolve our customary/validated marriage in accordance

with Part V of the Ordinance.

1. I hereby cancel the abovementioned notice in accordance with

section. 15(2) of the Ordinance,

Addresa: 地址

胸背腑潮 a r r 啡

Dated this

day of

19.........

日期:

九

月

日

(Signature of *husband/ wife).