208415-1934-Substitution-of-G-N-No-607-of-10th-August — Page 16

Government Gazette 政府憲報 轅門報 All

692

THE HONG KONG GOVERNMENT GAZETTE, AUGUST 24, 1934.

FORM No. 12.

Order for burial of body.

(s. 17 (1).]

I, A.B., a Magistrate of Hong Kong do hereby order the burial [or cremation] of the body now shown [or reported] to me as the body of

Dated the

day of

19

(Signed.)

A.B., Magistrate.

FORM No. 13.

Certificate of Registration of Death.

Name of deceased person

Sex

Age

Date of death

Date registered

Address at death

[s. 17 (2).]

Signature of Registrar

This certificate must be produced on demand by a Police Officer

to prove that the name of the person entered has been registered.

此執照如遇警弁索閱須交出察看

以証明上開之人名經已註册

FORM No. 14.

Certificate of still-birth.

[s. 18 (1).]

I, A.B., registered medical practitioner in the Colony of Hong Kong, hereby certify that I was in attendance at the birth of the child of Mrs. C.D. [or have examined the body of the child of Mrs. C.D. and that such child was not born alive.

Dated the

day of

(Signed.)

19

A.B., Registered medical practitioner.

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