1964_LEGAL_AID_REGULATIONS — Page 17

1988 Ed.]

Legal Aid Regulations

[CAP. 91

A 17

[Subsidiary]

I.

我

solemnly and sincerely declare that

以至誠聲明:

of

住址為

I.

My personal particulars are as follows- 有關我個人的資料如下:

Name: Mr./Madam/Miss

姓名:先生/女士/小姐

Alias:

別名

Hong Kong Identity Card No.: 香港身份證號碼

Date of Birth:

出生日期

Residential Address:

住址

Correspondence Address:

通訊地址

Occupation:

職業

hereby apply for Legal Aid and 現申請法律援助,並

.........(

Tel. No.:

電話號碼

Tel. No.:

電話號碼

Name of Employer

(or last employer if now unemployed)

僱主姓名(如目前失業,則填寫最後一名僱主的姓名)

Address of Employer (or last employer): 僱主(或前僱主)的地址

II. I wish to apply for Legal Aid for the following purpose-

我申請法律援助的目的爲:

(a) To......

in Action No.

(甲)對一九

年第

宗訴訟案

Hearing date/date of judgment or order

該案的聆訊日期/裁判或發出命令的日期爲

(b) To

(Z)

Name and Address of the Proposed Defendant(s) 被提名為被告人的姓名及地址

Tel. No.:

電話號碼

of 19.

)