476112-1938-Ordinance-passed-and-assented-to--Protection-of-Women-and-Girls-No-5-of-1938 — Page 18

THE HONG KONG GOVERNMENT GAZETTE, MAY 13, 1938.

[Reg. 3.]

APPENDIX A.

Photograph of

ward

FORM OF NOTICE.

(passport size)

Serial number.

Date of registration.

Name or names (1) of ward in English and Chinese.

Address at which the ward resides.

Age of ward (2).

Name of father of ward in English and Chinese.

Name of mother of ward in English and Chinese.

Native place of ward.

Name of custodian in English and Chinese.

Name of custodian's wife/(3) husband in English and Chinese.

Address at which custodian resides.

Occupation of custodian.

Signature of Custodian.

Interpreted by

(1) If the name of the ward is changed on adoption, both old and new names should be given.

(2) The date of birth must be given if known. If only the age is given it should be stated whether it is given according to Chinese or English reckoning.

(3) Strike out whichever word is inapplicable. If custodian is a widower or widow no answer is required.

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