|
[接上页] District HK/KLN/NT* Telephone No. Mobile Phone No. Fax No. Email Address Declaration Note: Questions 1 to 5 below refer to factors which will be considered in the determination for the grant of licence. 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 for each place at which and each business name under which I am to carry on an estate agency business (if any), I have filed as part of this application an application for the grant of statement of particulars of business (Form 8), and 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) Signature of Applicant (L.N. 147 of 2001) FORM 3 ESTATE AGENTS AUTHORITY APPLICATION FOR THE GRANT OF ESTATE AGENT'S LICENCE (COMPANY)/ STATEMENT OF PARTICULARS OF BUSINESS 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. Note: 1) Please '?' in the appropriate box. 2) *Delete as inappropriate. Section A Section A of this form has to be completed by a representative of the applicant company. The representative must be in effective control of the applicant company's estate agency business and he has to be a licensed estate agent. Validity Period of Licence applied for □ 12 months □ 24 months A-1 Particulars of Applicant Company Name of Applicant Company in English (As registered with Companies Registry) Name of Applicant Company in Chinese (As registered with Companies Registry) Certificate of Incorporation No. Business Registration No. Expiry Date (DD/MM/YY) Address of Registered Office ____________ Flat/Room ____________ Floor ____________ Block _______________________________ Name of Building/Estate ___________________________ Number and Name of Street _________________________ District HK/KLN/NT* Telephone No. Fax No. Emal Address A-2 Particulars of Business (if DIFFERENT from above) Business Name in English (as shown in Business Registration Certificate) Business Name in Chinese (as shown in Business Registration Certificate) Place of Business ____________ Flat/Room ____________ Floor ____________ Block ______________________________ Name of Building/Estate __________________________ Number and Name of Street _________________________ District HK/KLN/NT* Telephone No. Fax No. Emal Address A-3 List of Directors Note: 1) As registered with Companies Registry. Please use additional sheet if necessary. 2) Directors without a valid Estate Agent's Licence (Individual)/(Company) must complete Section B / Section C of this form. List of Directors Name in English (Surname first) Name in Chinese Licence Number Expiry Date (DD/MM/YYYY) (Individual) List of Directors (Company) A-4 Declaration Note: The questions below refer to factors which will be considered in the determination for the grant of licence/Statement of Particulars of Business. They form an integral part of this form and must be answered. "You" in the questions means the company applying for the grant of the Estate Agent's Licence (Company)/Statement of Particulars of Business. Yes No 1. Are you in liquidation or the subject of a winding-up order, or is there a receiver appointed in relation to you, or have you, within the 5 years immediately prior to the date of this application, entered into a composition or scheme of arrangement with your creditors? □ □ 2. Have you ever been convicted under the Estate Agents Ordinance (Cap 511)? |