Sessional_Paper_1938 — Page 153

NAME

ex. s.s.

Arrived Hong Kong on

Left Hong Kong on

by s.s.

Duration of stay in Hong Kong

Accommodation in Hong Kong:—

In J.C.S., H.V. from

In C.B.S. from

149

Appendix 6.

..days.

to

inclusive.

to

inclusive.

In Laichikok from

to

inclusive.

In

from

to

inclusive.

In

from

to

inclusive.

In S.S.Po Camp from

to

inclusive.

1.

Guarantee form

2. Questionnaire

Assessment of ability to pay

Appendix 7.

GOVERNMENT OF HONG KONG

In consideration of the Hong Kong Government providing me the undersigned

Here insert full

name of person signing under- taking.

Here insert full name of each person in charge

of or accompany- ing the person signing.

and

with

passages to Shanghai, I hereby agree to pay to the said Government on demand in respect of such passages the sum of

Dollars

($

).