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[接上页] (L.N. 147 of 2001) FORM 4 ESTATE AGENTS AUTHORITY APPLICATION FOR THE GRANT OF SALESPERSON'S LICENCE Section 55(1)(d) 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. Validity Period of Licence applied for □ 12 months □ 24 months Particulars of Applicant Name in English (Surname first) Name in Chinese H.K.I.D. Card/Travel Document* No. Date of Birth (DD/MM/YYYY) Sex □ Male □ Female Alias Educational Level □ Below F. 5 □ Completed F. 5 or equivalent □ Tertiary or above Pass in Qualifying Examination □ Estate Agents Examination □ Salespersons Examination Have you ever held a licence issued by the Estate Agents Authority? □ Yes □ No If the answer is 'yes', please state the Licence No. Registered Address _____________ Flat/Room _____________ Floor _____________ Block _______________________________ Name of Building/Estate ____________________________________ Number and Name of Street __________________________ 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 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 5 [section 4] ESTATE AGENTS AUTHORITY ESTATE AGENTS ORDINANCE (Chapter 511) ESTATE AGENT'S LICENCE (INDIVIDUAL) Licence No.: ________________ LICENCE IS GRANTED on ___________________________________________________to __________________________________________________________________________ to carry on estate agency work as an estate agent. This licence shall, unless earlier suspended or revoked, cease to have effect on ___________. This licence is subject to the conditions set out herein. General Conditions 1. Every holder of an estate agent's licence shall- (a) display and keep displayed, at a conspicuous position at each place at which he carries on business as an estate agent, the relevant statement of particulars of business; (b) state clearly and conspicuously on any letter, account, receipt, pamphlet, brochure and other document issued by him or on his behalf the following- (i) the number of his licence or the relevant statement of particulars of business; (ii) the business name as stated in the relevant statement of particulars of business; and (iii) the place of business as stated in the relevant statement of particulars of business; (c) state clearly and conspicuously in all advertisements, pamphlets and brochures excepted, by him or on his behalf, the items in paragraph (b)(i) and (ii); (d) not carry on estate agency business under a business name or at a place of business other than the one specified in a statement of particulars of business granted to him; and (e) apply to the Estate Agents Authority to have his statement of particulars of business amended under section 12 of the Estate Agents (Licensing) Regulation (Cap 511 sub. leg.), if any matter stated therein is for any reason incorrect. 2. Every licensee shall, upon request in writing by the Estate Agents Authority, surrender his licence to the Estate Agents Authority for amendment or variation of any existing conditions or for attachment of new conditions. |