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[接上页] □ □ If you have answered 'Yes' to any of the above questions, please give details using additional sheets. On behalf of the applicant company, I hereby declare that for each place at which and each business name under which the applicant company is to carry on an estate agency business, the applicant company has 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. _____________________________ Name of Representative (in BLOCK LETTERS) __________________________________ Estate Agent's (Individual) Licence number _____________________________ Position (in BLOCK LETTERS) ____________________ Date (DD/MM/YYYY) ________________________________ Authorized Signature and Company Chop Section B Particulars of Director (Directorship held by an Individual without a valid estate agent's individual licence) Form 3 (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. Please obtain or copy sufficient copies of Section B of this form as necessary for completion by EACH director without a valid estate agent's individual licence. B-1 Particulars of Applicant Company Certificate of Incorporation No. Name of Applicant Company in English B-2 Particulars of Director Name in English (Surname first) Name in Chinese H.K.I.D. Card/Travel Document* No. B-3 Declaration Note: Questions 1 to 5 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. 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 Director (in BLOCK LETTERS) __________________ Signature B-2 Particulars of Director Name in English (Surname first) Name in Chinese H.K.I.D. Card/Travel Document* No. B-3 Declaration Note: Questions 1 to 5 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. 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. |