208298-1934-Ordinance-passed-and-assented-to--Births-and-Deaths-Registration-No-21-of-1934 — Page 15

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THE HONG KONG GOVERNMENT GAZETTE, AUGUST 10, 1934.

FORM NO. 5.

[s. 13 (1).]

Declaration for altering or adding to the name of a child.

I (Name) (Address)

.......

(Description)

Parent [or guardian] of the child of

and

the

...་ཏཱཾ།

day of

whose birth was registered on ..., under the

name (s) of

do solemnly, sincerely and

truly declare that I desire

Strike out

(a) to add the name (s) of...

either (a) or (b) as required.

to the above-mentioned

name (s).

(b) to alter the above-mentioned name(s) to

I (Name) (Address)

(Description)

Before me,

(Signed.)

A.B.,

(Signed).

Parent [or Guardian].

FORM NO. 6.

Declaration of name of child.

Parent or guardian] of the child of

and

on the

day of

Registrar.

[s. 18 (1).]

whose birth was registered

without a name, do solemnly, sincerely and truly declare that the said child has received the name(s) of

and that

I desire that the said name(s) shall be added to the register.

(Signed.) A.B., Parent [or Guardian].

Before me.

(Signed.)

FORM NO. 7.

*

Registrar.

(s. 13 (2).]

Certificate of registration of alteration of name of child.

I, A.B., Registrar [or Deputy or Assistant Registrar of Births and Deaths, do hereby certify that the name [or names of by which a child of one C.D. and E.F. was registered on the day of

19 has [or have] been altered to and that such alteration has been entered in the

register book.

Dated the

Fee $1.

day of

19

1

(Signed.) A.B., a registrar of Births and Deaths.

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