1964_DRUG_ADDICTS_TREATMENT_AND_REHABILITATION_REGULATIONS — Page 9

1972 Ed.]

Drug Addicts Treatment and Rehabilitation Regulations

[CAP. 326

A9

[Subsidiary]

FORM 5

[r. 5.]

表格五

(規則第五款)

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)

Summons to Witness

傳召證人書

In the matter of an appeal under section 16 of the Drug Addicts Treatment and Rehabilitation Ordinance;

關於根據戒毒人治療與康復條例第十六款而提出之上訴案;

And in the matter of (1)........

該案係與(一)

有關。

To (2)...

致(二)

You are hereby summoned to appear before the Addiction Treatment Centre Appeal Board at

茲特通知台端須於下述日期時間於戒毒所上訴委員會

upon the day of 19......at o'clock in the noon to give evidence touching the appeal and also

進行聆訊時出席,其地點在 日期時間爲一九 年 月 日 時午 分。台端屆時須就該上訴案提出證供(三),並攜帶下開各項以便呈堂,計開(四)

to bring with you and produce (4)

Given under my hand this day of . 19.........

一九 年 月 日簽發。

Chairman,

Addiction Treatment Centre Appeal Board.

戒毒所上訴委員會主席

(1) Insert name of patient who is appealing.

(一)填寫提出上訴之戒毒人姓名。

(2) Insert name and address of witness.

(二)填寫證人姓名地址。

(3) Delete if not required.

(三)將不適用字句刪去。

(4) Specify any books, documents or other things required to be produced.

(四)列明所需呈堂之簿册、文件或其他物件。