1964_FIRE_SERVICE_(INSTALLATION_CONTRACTORS)_REGULATIONS — Page 12

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[Subsidiary]

CAP. 95] Fire Service (Installation Contractors)

Regulations

[1986 Ed.

FIRE SERVICE (INSTALLATION CONTRACTORS) REGULATIONS

消防事務(裝置承辦商)規例

(Regulation 3(1A))

(規例第三條第(1A)款)

FORM 2

表格二

APPLICATION FOR REGISTRATION AS A FIRE SERVICE

INSTALLATION CONTRACTOR CLASS 3

註冊爲第三類消防事務裝置承辦商申請書

To: Director of Fire Services

受文者:消防事務處處長

I hereby make application to be registered as a Fire Service Installation

Contractor Class 3.

本人茲申請註冊爲第三類消防事務裝置承辦商。

1.

Name of applicant

申請人姓名

2. Address of applicant

*

申請人地址

3. Telephone No.

三、電話號碼

4.

Date of Birth

四、出生日期

5.

Identity Card No.

五、身份證號碼

6. Name and address of company or firm under

employment (if applicable)

六、受僱之公司或商號之名稱及地址(如適用者)

7.

Qualifications and experience of applicant in

maintenance, repair and inspection of fire service installations and equipment

七、申請人對保養、修理及檢驗消防事務裝置及設

備所具備之資格及經驗。

Date

Signature of applicant

申請人簽署

(will be accepted as

specimen signature)

(上開簽字將作為簽字樣本)

日期