1964_DRUG_ADDICTS_TREATMENT_AND_REHABILITATION_REGULATIONS — Page 7

1972Ed.]

Drug Addicts Treatment and Rehabilitation Regulations

[CAP. 326

A7

all sums due in respect of the proper cost of maintenance and treatment 則上述保證書即行作廢,至於該等款項乃 of... ..

指

centre at

(Name in English).

(英文姓名)

...........) of

(Name in Chinese Characters, if any).

(Address).

其地址爲

(中文姓名)

(地址)

in the drug addiction treatment

在

or in any other

戒毒所或隨後調

centre to which he may be transferred but in the event of the above- 往之任何其他戒毒所內戒毒時所需繳付之生活費用及治療費用,但倘 bounden.....

or his personal representative

保證人

failing to pay the said sums whenever due, the above written bond shall 或 其 代 表 人 在

remain in full force and effect notwithstanding that no demand has been 骸

期時 仍未

筆 款

項

繳

made for the same by the said

則即使*

未有提出繳費之

要求,上述保證書仍屬完全有效口

Signed, sealed and

本保證書保由

delivered by the said 麒

in the presence of-

在

面前簽立、蓋印及交付作實。

[Subsidiary]

Seal

i

加蓋封

印處

(Signature of Applicant).

!

(申請人簽譽)

The Hong Kong Government or such other person as may be entitled thereto. 前填香港政府或有權收費之其他人士。

FORM 4

表格四

[r. 4.1

(規則第四款)

DRUG ADDICTS TREATMENT AND REHABILITATION ORDINANCE 戒毒人治療與康復條例

(Chapter 326)

(香港法例第三二六章)

Bond to Secure the Continued Presence of a Patient in a Centre 確保戒毒病人留在戒毒所內之保證書

BY THIS BOND I

本人.

$λ.....

(Name in English).

(英文姓名)