1964_WATER_POLLUTION_CONTROL_(GENERAL)_REGULATIONS — Page 50

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D 50

[Subsidiary]

CAP.358] Water Pollution Control (General) Regulations

[1988 Ed.

SECTION B.

B1.

B2.

DECLARATION

I/We hereby certify that the particulars given above are, to the best of my/our knowledge and belief, correct, and that the original/latest varied licence conditions still pertain to the discharge or deposit.

*I/We intend to apply to the Secretary under section 43 of the Ordinance to withhold from public notification or other public access the information contained in section or sections of this Form, namely----

* Delete if inapplicable.

B3.

APPLICANT

MANAGER OF INDUSTRIAL ENTERPRISE OR OF DOMESTIC SEWAGE TREATMENT PLANT

(If not the applicant)

Signature/s

Name/s

(Block letters)

Date

The fee prescribed in the Third Schedule to the Water Pollution Control (General) Regulations should accompany this application.

香港政府

表格 6

水污染管制條例

(香港法例第358章)

第23條

換領牌照申請書

管制區水污染管制監督:

致

A段,一般資料

政府機關專用欄

AL

申請人

收件日期

(英文)詳細姓名(如有)

請申請人提供進一步資料

中文姓名

身份證號碼/商業登記號碼

公佈週知

通訊地址

電話號碼

批准/拒絕日期

申請人以什麼職責身份提出申請

Page 50

Page 51

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D 50 [Subsidiary] CAP.358] Water Pollution Control (General) Regulations [1988 Ed. SECTION B. B1. B2. DECLARATION I/We hereby certify that the particulars given above are, to the best of my/our knowledge and belief, correct, and that the original/latest varied licence conditions still pertain to the discharge or deposit. *I/We intend to apply to the Secretary under section 43 of the Ordinance to withhold from public notification or other public access the information contained in section or sections of this Form, namely---- * Delete if inapplicable. B3. APPLICANT MANAGER OF INDUSTRIAL ENTERPRISE OR OF DOMESTIC SEWAGE TREATMENT PLANT (If not the applicant) Signature/s Name/s (Block letters) Date The fee prescribed in the Third Schedule to the Water Pollution Control (General) Regulations should accompany this application. 香港政府 表格 6 水污染管制條例 (香港法例第358章) 第23條 換領牌照申請書 管制區水污染管制監督: 致 A段,一般資料 政府機關專用欄 AL 申請人 收件日期 (英文)詳細姓名(如有) 請申請人提供進一步資料 中文姓名 身份證號碼/商業登記號碼 公佈週知 通訊地址 電話號碼 批准/拒絕日期 申請人以什麼職責身份提出申請 Page 50 Page 51
Baseline (Original)
D 50 [Subsidiary] CAP.358] Water Pollution Control (General) Regulations [1988 Ed. SECTION B. B1. B2. DECLARATION I/We hereby certify that the particulars given above are, to the best of my/our knowledge and belief, correct, and that the original/latest varied licence conditions still pertain to the discharge or deposit. *I/We intend to apply to the Secretary under section 43 of the Ordinance to withhold from public notification or other public access the information contained in 'section or sections of this Form, namely---- * Delete if inapplicable. B3. APPLICANT MANAGER OF INDUSTRIAL ENTERPRISE OR OF DOMESTIC SEWAGE TREATMENT PLANT (If not the applicant) Signature/s Name/s (Block letters) Date The fee prescribed in the Third Schedule to the Water Pollution Control (General) Regulations should accompany this application. 香港政府 表格 6 水污染管制條例 (香港法例第358章) 第23條 換領牌照申請書 管制區水污染管制監督: 致 A段,一般資料 政府機關專用欄 AL 申請人 收件日期 (英文)詳細姓名(如有) 請申請人提供進一 中文姓名 步資料 身份證號碼/商業登記號碼 公佈週知 通訊地址 電話號碼 批准/拒絕日期 申請人以什麼職責身份提出申請 Page 50Page 51
2026-05-05 16:34:23 · Baseline
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D 50

[Subsidiary]

CAP.358] Water Pollution Control (General)

Regulations

[1988 Ed.

SECTION B.

B1.

B2.

DECLARATION

I/We hereby certify that the particulars given above are, to the best of my/our knowledge and belief, correct, and that the original/latest varied licence conditions still pertain to the discharge or deposit.

*I/We intend to apply to the Secretary under section 43 of the Ordinance to withhold from public notification or other public access the information contained in 'section or sections of this Form, namely----

* Delete if inapplicable.

B3.

APPLICANT

MANAGER OF INDUSTRIAL ENTERPRISE OR OF DOMESTIC

SEWAGE TREATMENT PLANT

(If not the applicant)

Signature/s

Name/s

(Block letters)

Date

The fee prescribed in the Third Schedule to the Water Pollution

Control (General) Regulations should accompany this application.

香港政府

表格 6

水污染管制條例

(香港法例第358章)

第23條

換領牌照申請書

管制區水污染管制監督:

致

A段,一般資料

政府機關專用欄

AL

申請人

收件日期

(英文)詳細姓名(如有)

請申請人提供進一

中文姓名

步資料

身份證號碼/商業登記號碼

公佈週知

通訊地址

電話號碼

批准/拒絕日期

申請人以什麼職責身份提出申請

Page 50Page 51

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