207158-1934-Ordinances-passed-and-assented-to--Commissioners-Powers-Amendment-No-1-of-1934-Merchandise-Marks-Amendment--No-2-of-1934-Registration-of-Persons--No-3-of-1934 — Page 8

THE HONG KONG GOVERNMENT GAZETTE, MARCH 29, 1934.

SCHEDULE.

Name in full (surname first)

Sex

or widow

Particulars of Birth:

Country in which born

[ss. 3 & 6.]

age

single, married

County, Division or State

City, Town or Village

Date of Birth

Nationality

Proposed length of stay in the Colony

Particulars of Passport:

By whom Issued

Place

Date of Issue

Date of Expiry.....

No. of Passport

Particulars of visa valid for Hong Kong.

By whom Issued.

Place

Date of Issue

Date of Expiry

Local residence and telephone number

Profession or occupation

Name of employer (if any)

Business address and telephone number

Nature of employer's business

Futher particulars tending to establish identity, nationality and occupation

Signature

Date

19......

Photograph

Witness

Address

245