41398-1915-Proposed-Rules-under-the-Importation-and-Exportation-Ordinance-1915 — Page 7

THE HONGKONG GOVERNMENT GAZETTE, DECEMBER 24, 1915.

FORM NO. 4.

APPLICATION FOR EXPORT PERMIT.

[Rule 18.]

(Importation and Exportation Ordinance, 1915.)

I (we) hereby declare that I (we) wish to export by the

S.S.

on

the following articles which are ultimately destined for

of........

consigned to

at.........

Number and Description

of Cases.

No. Description.

Marks.

Numbers.

........and which will be

Weight or Total Quantity.

Value.

I (we) have made all enquiries reasonably possible with regard to the ultimate destination of the said articles and I (we) have no reason to suspect that any of them is destined for any person who is an enemy or is treated as an enemy, or for any country which is an enemy country or is treated as an enemy country, under any law for the time being in force relating to trading with

the enemy.

I (we) also declare that

(Here add any other particulars required by the Superintendent of Imports and Exports.)

Dated the......

......................day of...

191......

(Intending Exporter.)

(Address.)

(Additional personal signature if the above name be that of a body corporate or firm or association or organisation.)

Contents.

637

2