CO537-4801 — Page 16

Form 3 (a) (Rules 11-12),

← Identity Card 身份證

Kong

Form 3 (b) (Rules 11-12) Counterfoil

Changes of permanent residence or Address of employment.

ENDORSEMENTS

Hong

REGISTRATION OF PERSONS

RULES, 1949

FORM 3 (RULES 11-12)

身份證

(1) Employers Serial No :

(2) Name (in English)

(3) (in Chinese)

(4) Address (in English)

(5) (in Chinese)

Employment

Address (in English)

(in Chinese)

Date of issue | Issuing Officer's |

Signature.

(1) Employers Serial No:

(2) Name (in English)

(3) (in Chinese)

(4) Address (in English)|

(5) (in Chinese)

Employment Address (in English)

Form 3 (b) (Rules 11-12)

Counterfoil

1 2 3 4 5 6 7 (6) Age (7) Sex

(8)

Race

(9) Nationality

Claimed

- 16-

Form 3 (a) (Rules 11-12), Identity Card

2 3 4 5 6 7 (6) Age (7) Sex

Changes of permanent re- sidence or Address of employment.

Embossed

(8)

Race

Claimed

Photograph

Photograph

(9) Nationality

(10) Occupation

Thumb Print. Thumb Print

(10) Occupation

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