1974 Ed.]
Essential Services Corps (General) Regulations
[CAP. 197
A 11
[Subsidiary]
FORM IV
[r. 5.]
G.N.A. 164/50.
Declaration of Member who has not passed the
Medical Examination
I,....
understand that in the event of application by me for disability pension, or of application by any dependant for pension or allowance on the grounds that my death was due to illness attributable to or aggravated by my service in the Corps, a Medical Board may report that it is unable to make recommendation because of my medical condition prior to being called out for active service,
G.N.A. 4/61.
L.N. 49/67.
Signature of Witness.
Date.
Signature of Member.
Date.
FORM V
Certificate of cancellation of enrolment
I certify that the enrolment of
[r. 6.]
as a member of the Essential Services Corps has been cancelled with effect from the
day of
19.....
Date
19......
Commissioner, Essential Services Corps, Hong Kong.
THIRD SCHEDULE
[r. 19.]
L.N. 55/72.
The Civil Aviation Unit.
The Aircraft Maintenance Unit. The Airline Industry Sub-Unit.
The Caltex Sub-Unit.
The Esso Sub-Unit.
The Mobil Sub-Unit.
The Shell Sub-Unit.
The Dairy Farm Sub-Unit.
1974 Ed.]
Essential Services Corps (General) Regulations
[CAP. 197
A 11
[Subsidiary]
FORM IV
[r. 5.]
G.N.A. 164/50.
Declaration of Member who has not passed the
Medical Examination
I,....
understand that in the event of application by me for disability pension, or of application by any dependant for pension or allowance on the grounds that my death was due to illness attributable to or aggravated by my service in the Corps, a Medical Board may report that it is unable to make recommendation because of my medical condition prior to being called out for active service,
G.N.A. 4/61.
L.N. 49/67.
Signature of Witness.
Date.
Signature of Member.
Date.
FORM Y
Certificate of cancellation of enrolment
I certify that the enrolment of
[r. 6.]
as a member of the Essential Services Corps has been cancelled with effect from the
day of
19.....
Date
19......
Commissioner, Essential Services Corps, Hong Kong.
THIRD SCHEDULE
[r. 19.)
L.N. 55/72.
The Civil Aviation Unit.
The Aircraft Maintenance Unit. The Airline Industry Sub-Unit.
The Caltex Sub-Unit.
The Esso Sub-Unit.
The Mobil Sub-Unit.
The Shell Sub-Unit.
The Dairy Farm Sub-Unit.
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