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REGISTRAR GENERAL'S DEPARTMENT, HONG KONG 香港註 册 總 署
CERTIFIED COPY OF AN ENTRY IN A REGISTER OF DEATHS
KEPT IN TERMS OF THE BIRTHS AND DEATHS REGISTRATION ORDINANCE
根據生死註册條例規定而設置之死亡登記冊內一項註冊紀錄之認證本
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CAUTION:—Any person who (1) falsifies any of the particulars on this certificate, or (2) uses a falsified certificate as true, knowing it to be false, is liable to prosecution.
告:
任何人士,如(一)塗改本證書內之任何項目或(二)明知證書為僞造但故意視作真實而使用者可有遭受控訴之虞。
No 1841
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