Enclosure 517
1149
INSTRUCTIONS to CLAIMANTS for REWARDS of the ROYAL HUMANE SOCIETY,
setting forth the particulars of the case of Gan Gon Tsz Mobi
who risked his own life in rescuing drowned, at Victoria, Hongkong on the
18 September 1906.
1. Name, Address, Age,
& Occupation of the Claimant.
2. Name, Address, Age,
& Occupation of the Person saved.
3. Time of Day, Date
& Place at which
the Accident occurred, Depth of Water, &c., to be here stated.
4. The precise nature
of the exertions used and risk incurred in saving the Person, & other particulars.
6. What was the actual Time of Immersion of the person saved, and the state of the Body when first rescued?
7. What was done with
the Body, and where taken to?
7. Who was sent for;
who came; what was
then done, and what kind of treatment was adopted?
Gan Gon Tsz Mobi
near the Metropolis.
37 years.
David Gourlay Pollie
Inspector of
Hong Kong
Not known
Along the Praya wall Eastern District, during the typhoon, between 8.30 am &
10.30 am Depth of water about 18.
See letter attached.
Not known
Not known
This Paper to be accompanied by Certificates of one or more eye-witnesses, who should add their Profession or Trade after Signature, and state fully, in their own hand-writing, the precise nature of the Claimant's exertions, showing the actual risk he thereby incurred.
*Should the Patient have been taken to a Public House, a Certificate of the Landlord, verified also by the Medical Attendant, should be attached, and stating what accommodation was afforded.
22nclosure 517
1149
INSTRUCTIONS to CLAIMANTS for NCWARDS of the NOYAL HUMANE SOCITY,
setting forth the particulars of the case of Gant Gon T Mobi
who risked his own life in rescuing drowned, at Victrix, Hoykoy on the
18
Weptember 1906.
Chivers
Pecuniary Kewards are limited to Cases only which occur in or
1. Name, Aldress, Age,
& Occupation of the Claimant.
12. Name,Aidress, Age,
1 Occupation of the Person savej.
3. Time of Day,Date
3 Place at which
the Accident occurr- ed, Depth of Water, fc.,to be here stalei.
4. The precise nature
of the exertions used and risk incurred in saving the Person, & other particulars.
6. that was the actual Tise of Immersion of the person saved, and the state of the Body when first rescued?
3. What was done with
the Body, and where taken to?*
7. Who was sent for;
who came; what was
then done, and what kind of treatment was adopted?
near the Vetropolis.
37. years.
David Gourlay Folie
mopector of
Hong Kong
hot knownc
Along the Proya wall Eastern Distrit, during the typhom, between 8.30 am d
10.30 am Daseth of water about
18.
See litter attached.
Not knowwor
Nol known
This Paper to be accompanied by Certificates of one or more bye-witnesses, who should add their Profession or Trade after Signature, and state fully, in their own hand-writing, the precise nature of the Claimant's exertions, showing the actual risk he thereby incurred.
*Should the Patient have been taken to a Public House, a Certificate of the Landlord, verified also by the Medical Attendant, should be attached, and stat- ing what accommodation was afforded.
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