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[接上页] ______________________ Date (DD/MM/YYYY) _________________________________ Name of Director (in BLOCK LETTERS) __________________ Signature Section C Particulars of Director (Directorship held by a company without a valid estate agent's company licence) Form 3 (Page 3) 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 C of this form as necessary for completion by EACH director who is a company without a valid estate agent's individual licence. C-1 Particulars of Applicant Company Certificate of Incorporation No. Name of Applicant Company in English C-2 Particulars of Director Business Registration No. Expiry Date (DD/MM/YYYY) Business Name in English Business Name in Chinese C-3 Declaration Note: Questions 1 to 4 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 questions 1 to 4 means the director of the company applying for the grant of the Estate Agent's Licence (Company)/ Statement of Particulars of Business (directorship is held by a company). 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. 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. Have you ever been convicted, whether in Hong Kong or elsewhere, on the basis of any fraudulent, corrupt or dishonest acts? □ □ 4. Have you ever been convicted under the Estate Agents Ordinance (Cap 511)? □ □ If you have answered 'Yes' to any of the above questions, please give details using additional sheets. I, on behalf of the director company, 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. _______________________________________ Name of Representative (in BLOCK LETTERS) _________________________________________ Authorized Signature and Company Chop _______________________________________ Position (in BLOCK LETTERS) _________________________________________ Date (DD/MM/YYYY) C-2 Particulars of Director Business Registration No. Expiry Date (DD/MM/YYYY) Business Name in English Business Name in Chinese C-3 Declaration Note: Questions 1 to 4 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 questions 1 to 4 means the director of the company applying for the grant of the Estate Agent's Licence (Company)/ Statement of Particulars of Business (directorship is held by a company). 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. 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. Have you ever been convicted, whether in Hong Kong or elsewhere, on the basis of any fraudulent, corrupt or dishonest acts? □ □ 4. Have you ever been convicted under the Estate Agents Ordinance (Cap 511)? □ □ If you have answered 'Yes' to any of the above questions, please give details using additional sheets. I, on behalf of the director company, 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. _______________________________________ Name of Representative (in BLOCK LETTERS) _________________________________________ Authorized Signature and Company Chop _______________________________________ Position (in BLOCK LETTERS) _________________________________________ Date (DD/MM/YYYY) |