1964_IMMIGRATION_REGULATIONS — Page 21

1987 Ed.]

Immigration Regulations

[CAP. 115

A 21

[Subsidiary]

WHEREAS

兹因

of

其地址為

FORM NO. 11

表格第十一款

IMMIGRATION ORDINANCE

人民入境條例

(Chapter 115)

(香港法例第五章 )

Section 55(2)

第五十五款第(二)段

RECOGNIZANCE

具保書

者

is required by the Governor in Council under section 55(2) of the Immigra- 現已由總督會同行政局根據人民入境條例 tion Ordinance to enter into this recognizance on the recission by the 第五十五款第(

段飭令其須於總督會同

Governor in Council, subject to the condition(s) specified below, of the 行政局在下開條件下撤消其遞解出 出境

境令 deportation order made against him:

Now-

現

時,簽署此具保書:

the said

該

础

of

其地址焉

of

*

*

其地址為

and

者;與

者,

hereby acknowledges/acknowledge that he/they severally will pay to the Crown 茲承諾,如遇其(上文首述人士)不遵守所規定之條件者,則彼/彼等須/須分別 the following sum/sums-

繳付下開款項與政府

the said

該

*the said

* 該

*the said

** 該

元元

if the said

至於上述該

following condition(s):--

條件爲

Signed by---

本具保書由

the said 該

*the said

*

該

*the said

* 該

on the

於一九

in the presence of ......

在

the sum of $....

應繳付

the sum of $...

應繳付

the sum of $..

應繳付

元

fails to comply with the 所須遵守之

19.

day of

年

月

面前簽署。

* Delete where inapplicable.

* 請將不適用者删去。

Signature.

簽署