COPY

DATED 20th September

Copy of PETITION of Charles William Falk.

WILKINSON & GRIST,

Solicitors & Notaries,

Hong Kong

FRESHFIELDS & LEESE,

31, Old Jewry.

E.C. 2.

165 Hong Kong ) Stamp Duty) $3.00 22.9.17.

I, ROBERT SUTHERLAND of Victoria in the Colony of Hong Kong, Shipping Manager to Messrs. Jardine, Matheson & Co., Ltd. General Managers Indo China Steam Navigation Co., Ltd. solemnly and sincerely declare and say as follows :-

I am a natural born British subject having been born at Birkenhead of British parents.

1. I am a householder in, and a Justice of Peace for the Colony of Hong Kong

2.

3.

4.

5.

6.

AND I have read the Memorial and Petition of Charles William Falk for a Certificate of Naturalisation dated this day and say that from my own personal knowledge the said Charles William Falk has been in the employ of the said Indo China Steam Navigation Co., Ltd. for a period of eight years,

I am able to testify to the facts herein set forth for the reason that I have myself continuously met and talked to the said Charles William Falk for upwards of the period of eight years last mentioned.

I am not connected with the said Charles William Falk except as the head of the Shipping Department under which the said Charles William Falk is employed.

The said Charles William Falk has always borne a good character and I verily believe that not only are the statements contained in his Memorial and Petition true in every respect but also that he has ever entertained in this Colony, and still entertains, feelings of loyalty towards the British Crown.

I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Statutory Declarations Act 1835.

DECLARED at the Courts of Justice Victoria in the Colony of Hong Kong this 21st day of September 1917

Before me,

(sa) E.J. GRIST

Notary Public.

HONG KONG.

(sa) ROBERT SUTHERLAND