1964_MARRIAGE_REFORM_(FORMS)_REGULATIONS — Page 10

C 10

[Subsidiary)

L.N.125/71.

CAP. 178] Marriage Reform (Forms) Regulations

FORM 9

表格第九款

MARRIAGE REFORM ORDINANCE

修訂婚姻制度條例

SECTION 16(2)

第十六款第(二)段

[1981 Ed.

Notice of Cancellation of a Notice of Intention to dissolve a Marriage 擬解除婚姻通知書撒消通知書

No.

of 19.

編號

?

年份:

九

a designated public officer.

To:

C

In the Headquarters of the Secretariat for Home Affairs/

the Headquarters of the New Territories Administration/ the

District Office.

*民政署總辦事處

指定主管人員

民政署理民府。

On the

逕啟者:纛

my *husband/wife (state name

day of

年

余與*丈夫/妻室(註明姓名

19.

) and

+

I gave you notice in accordance with section 16(1) of the Marriage Reform Ordinance 依照修訂婚姻制度條例第十六款缎

段

台端通知 of our intention to dissolove our customary/validated marriage in accordance with 曜套等擬依照該條例第五部之規定將余之俄式婚嫻 有效之 Part V of the Ordinance.

新式婚姻解除。

2. I hereby cancel the abovementioned notice in accordance with section 16(2) 、茲特依照該條例第十六款第(二)段將上述通知書

of the Ordinance.

撒

Dated this

日期:

汽

day of .

19.......

年

#

B

(Signature of *husband/wife).

(*丈夫/妻室簽署)

Hong Kong Identity Card No.

香港身份證號碼

Address:

地址

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