【法规名称】
【法规编号】 82167 什么是编号？
【正 文】
第7页 CAP 218F TRAVEL INDUSTRY COMPENSATION FUND (PROCEDURE FOR EX GRATIA PAYMENTS)
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[接上页] 9 ................ .................... .................... .................... .................... 10 ................ .................... .................... .................... .................... 11 ................ .................... .................... .................... .................... 12 ................ .................... .................... .................... .................... 13 ................ .................... .................... .................... .................... 14 ................ .................... .................... .................... .................... 15 ................ .................... .................... .................... .................... 16 ................ .................... .................... .................... .................... 17 ................ .................... .................... .................... .................... 18 ................ .................... .................... .................... .................... 19 ................ .................... .................... .................... .................... 20 ................ .................... .................... .................... .................... 21 ................ .................... .................... .................... .................... 22 ................ .................... .................... .................... .................... 23 ................ .................... .................... .................... .................... 24 ................ .................... .................... .................... .................... 25 ................ .................... .................... .................... .................... Note 1: This is applicable only in cases where a proof of debt has been/is to be lodged. Note 2: If space on both sides of this form is insufficient to accommodate all travellers, please reproduce this Annex by photocopying for their use. (L.N. 128 of 1997) FORM C TRAVEL AGENTS ORDINANCE (Cap 218) APPLICATION FOR EX GRATIA PAYMENT IN RESPECT OF AN ACCIDENT FROM THE TRAVEL INDUSTRY COMPENSATION FUND UNDER SECTION 32E OF THE ORDINANCE (For use by an applicant applying on his or her own behalf) I, a client of ........................................................................................................... , (name of travel agent)a licensed travel agent whose licence number is ..................................................................... , hereby apply for an ex gratia payment from the Travel Industry Compensation Fund under section 32E of the Ordinance. 2. My personal particulars are as follows- (a) Name (*Mr/Mrs/Miss/Ms) ............................................ (..................................) (English) (Chinese) Alias (if any) ......................................................................................................... (b) Date of birth .......................................................................................................... (c) *Hong Kong Identity Card/Passport No. ................................................................................................. (d) Residential address ................................................................................................ ......................................................................................... # Telephone No. ...................... Office address ................................................................................................... ......................................................................................... # Telephone No. ...................... (# Please tick the appropriate box, if it is also a correspondence address.) 3. My application is in respect of a loss incurred in respect of an accident which arises out of and in the course of an outbound travel service provided by the travel agent- (a) the circumstances in which the loss occurred are- .............................................................................................................................. .............................................................................................................................. (b) particulars of which loss are- (i) medical expenses incurred in the country or place where the accident occurred- $ .................. (ii) expenses incurred by my *relative(s)/former spouse for paying visits to the country or place for a purpose relating to or consequent upon my injury- (1) (2) Name of *relative/former spouse ............................... ................................ Relationship with me (in the case of a relative) ............................... ................................ Amount incurred $ ............................... ................................ 4. In support of the application, I attach the following documents- |
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