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[接上页] 3) For a sole proprietorship that applies for the grant of a Statement of Particulars of Business, this form has to be completed by the sole proprietor and he must be a licensed estate agent. 4) For a partnership that applies for the grant of a Statement of Particulars of Business, this form has to be completed by a partner and he has to be a licensed estate agent. In addition, each partner of the partnership has to complete and submit a Section B of this from. 5) Please '?' in the appropriate box. 6) *Delete as inappropriate. Validity Period of Licence applied for □ 12 months □ 24 months Section A Particulars of Business Nature of Business □ Sole Proprietorship □ Partnership □ Company Branch Statement of Particulars of Business No. (if applicable) Expiry Date (DD/MM/YYYY) Applicant's Individual / Company Licence No. Expiry Date (DD/MM/YYYY) H.K.I.D. Card /Travel Document / Certificate of Incorporation* No. Number of Partners in the Partnership Nature of the Place of Business □ Principal Office □ Branch Office Business Name in English (as shown in Business Registration Certificate) Business Name in Chinese (as shown in Business Registration Certificate) Business Registration No. Expiry Date (DD/MM/YYYY) Address of Place of Business _________________ Flat/Room ______________ Floor ________________ Block ___________________________ Name of Building/Estate __________________________ Number and Name of Street _____________________ District HK / KLN / NT* Telephone No. Fax No. Email Address On behalf of my sole proprietorship, partnership or company (as the case may be), I hereby declare that all the foregoing information is FULL, COMPLETE AND TRUE to the best of my knowledge and belief and I authorize the Estate Agents Authority to verify the foregoing information in any manner as it deems fit. _______________ Date(DD/MM/YYYY) _______________________ Name of Representative / Sole Proprietor / Partner* (in BLOCK LETTERS) _______________________ Estate Agent's Licence (Individual) No. of Representative / Sole Proprietor / Partner* _______________________ Authorized Signature and Company Chop Section B Particulars of Partners Form 8 (Page 2) Section 55(1)(c) of the Estate Agents Ordinance (Cap 511) makes it an offence punishable by a fine at level 6 and/or imprisonment for 1 year on conviction upon indictment or by a fine at level 5 and/or imprisonment for 6 months on summary conviction if a person makes any false or misleading statement or furnishes any false or misleading information in connection with an application for the grant or renewal of a licence. Partnerships with more than 2 partners are requested to obtain or copy sufficient copies of Section B of this form for completion by EACH of the partners. B-1 Particulars of Partnership Business Registration No. Expiry Date (DD/MM/YYYY) Business Name of Partnership B-2 Particulars of Partner Name in English (Surname first) Name in Chinese H.K.I.D. Card/Travel Document* No. Estate Agent's Licence No. (if applicable) B-3 Declaration Note: Questions 1 to 5 below refer to factors which will be considered in the determination for the grant of Statement of Particulars of Business. They form an integral part of this form and must be answered. Yes No 1. Are you an undischarged bankrupt or have you within the 5 years immediately prior to the date of this application made a composition or scheme of arrangement with your creditors? □ □ 2. Are you a director or officer of a company which is now disqualified under the Estate Agents Ordinance (Cap 511) for holding a licence, or were you a director or officer of that company at the date when the company was so disqualified? □ □ 3. Are you a mentally disordered person or a patient within the meaning of section 2 of the Mental Health Ordinance (Cap 136)? □ □ 4. Have you ever been convicted, whether in Hong Kong or elsewhere, on the basis of any fraudulent, corrupt or dishonest acts? □ □ 5. Have you ever been convicted under the Estate Agents Ordinance (Cap 511) in respect of which you have been sentenced to imprisonment, whether the sentence is suspended or not? □ □ If you have answered 'Yes' to any of the above questions, please give details using additional sheets. I hereby declare that all the foregoing information is FULL, COMPLETE AND TRUE to the best of my knowledge and belief and I authorize the Estate Agents Authority to verify the foregoing information in any manner as it deems fit. ______________________ Date (DD/MM/YYYY) _________________________________ Name of Partner (in BLOCK LETTERS) __________________ Signature B-2 Particulars of Partner Name in English (Surname first) Name in Chinese H.K.I.D. Card/Travel Document* No. Estate Agent's Licence No. (if applicable) B-3 Declaration Note: Questions 1 to 5 below refer to factors which will be considered in the determination for the grant of Statement of Particulars of Business. They form an integral part of this form and must be answered. |