CO537-6046 — Page 243

CO537 Colonial Confidential Records 理藩院機密檔案 All

130

Second Schedule.

Form No. 1.

THE HONG KONG GOVERNMENT GAZETTE.

SECOND SCHEDULE

(Section 6)

FORM No. 1.

AIRFIELD (KAI TAK) EXTENSION AND REVERSION ORDINANCE, 1948.

FORM OF CLAIM.

Name of Claimant

Address for next six months

(Change of address must be notified)

Lot Number

Location

Area

Title thereto

What evidence as to ownership is held

Date and nature of acquisition thereof

Name and address of a witness as to identity

Date

Signature

Witnessed

To Land Officer

or

Assistant Land Officer, New Territories.

In Triplicate. Copies may be obtained from the Land Officer or Assistant Land

Officer, New Territories, at One Dollar per set.

A

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