1964_MAGISTRATES_(FORMS)_RULES — Page 77

1984 Ed.]

Magistrates (Forms) Rules

[CAP. 227

C 77

[Subsidiary]

FORM 105

表格一〇五

Notice of Prosecution for Minor Offence

輕罪檢控通知書

(Section 7D Magistrates Ordinance Chapter 227)

(香港法例第二二七章裁判司條例第七條)

MAGISTRATE's Court

M.O.N. No.

輕罪通知書編號:

Name

姓名

of

地址

Address

地址

1/D Card No.

香港身份證號碼

Driving Licence No.

(where applicable)

駕駛執照號碼

(適用時方予填寫)

TAKE NOTICE that I

啟者:本人

allege that the abovenamed

指摘上述姓名爲

the

九

day of

年

commit an offence contrary to

有犯法行為,違反

in that he

犯案過程如下:

DEFENDANT'S COPY

此副本供被告人收存

裁判司法庭

did on

人士於

19

at

月

日在

The facts on which I base this allegation are contained in the summary set out 本人乃根據下開/隨本通知書夾附並經本人簽署之案情提要內列事實,而 below/attached to the notice and signed by me.

提出該項指摘。特此通知。

PENALTY

罰則

The maximum penalty/ies for this offence is/are

觸犯上述罪項之最高罰則為 -

*1.

*2.

A fine not exceeding $

罰款不邋

A sentence of

監禁

months' imprisonment.

個月。