1964_MONEY_LENDERS_REGULATIONS — Page 32

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CAP. 163]

Money Lenders Regulations

[1988 Ed.

[Subsidiary]

FORM 4

MONEY LENDERS ORDINANCE

(Chapter 163)

STATEMENT IN SUPPORT OF AN APPLICATION BY AN INDIVIDUAL FOR A LICENCE FOR HIMSELF

OR FOR A PARTNERSHIP

(To be completed in triplicate)

[ss. 8(1) & 34]

Please answer the following questions-

(If there is insufficient space provided for your answer, please continue on a separate sheet of paper, specifying the question number to which your answer relates, and add your signature.)

1.

(a) Have you ever previously made application for

a licence under the Money Lenders Ordinance?

(b) If you have, state-

(i) the date of application

(ii) whether the application was successful

(answer "yes" or "no")

(c) If the application was unsuccessful, state the

reason, if known to you

2. (a) Have you ever been convicted of an offence, other than a traffic offence, in Hong Kong or elsewhere? (answer "yes" or "no").

(b) If you have, give the following details

The offence

The penalty (if any) imposed

The date of conviction

The name of the court which tried the offence

3

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