【法规名称】
【法规编号】 82167 什么是编号？
【正 文】
第9页 CAP 218F TRAVEL INDUSTRY COMPENSATION FUND (PROCEDURE FOR EX GRATIA PAYMENTS)
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[接上页] 2. My personal particulars are as follows- (a) Name (*Mr/Mrs/Miss/Ms) .................................................... ( ) (English) (Chinese) Alias (if any) ......................................................................................................... (b) Date of birth .......................................................................................................... (c) Occupation ............................................................................................................ (d) *Hong Kong Identity Card/Passport No. ................................................................ (e) Relationship with the traveller ................................................................................. (f) Residential address ................................................................................................ ............................................................................................. # Telephone No. ........................... Office address ............................................................................................... ........................................................................................... # Telephone No. ........................... (# Please tick the appropriate box, if it is also a correspondence address.) 3. The personal particulars of the traveller, his particulars of loss and authorization for me to act on his behalf in applying for and receiving ex gratia payments from the Fund are at the Annex. 4. The application is in respect of a loss incurred in respect of a accident which arises out of and in the course of an outbound travel service provided by the travel agent The circumstances in which the loss occurred are- ............................................................................................................................................. ............................................................................................................................................. 5. In support of this application, I attach the following documents- (a) One original receipt or certified true copy thereof duly stamped/franked to show payment of levy to the Travel Industry Compensation Fund and a total payment of $ .............. made to the travel agent.(b) A copy of the traveller's *Hong Kong Identity Card/Passport. *(c) One original document showing that the accident has been reported to the relevant authority of the country or place where the accident occurred.(d) *One/ ............ original(s) of receipt(s) for the expenses described in the Annex. *(e) *One/ ............ original(s) of receipt(s) for the damages or compensation received in respect of the expenses described in the Annex. 6. I solemnly and sincerely declare that- (a) I have been authorized by the traveller named in paragraph 1; and (b) all the information given by me in this application is true and correct to the best of my knowledge and belief.And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Oaths and Declarations Ordinance (Cap 11). .................................................................. Signature of authorized applicant Declared at ................................................................................................................... in Hong Kong this ............... day of ........... 19........ Before me, ........................................................... Commissioner for Oaths * Delete as appropriate. NOTES 1. The applicant is advised to read Part IIIA of the Travel Agents Ordinance (Cap 218) before submitting this application. 2. Additional information and documentary evidence may be required in support of this application. 3. This application must be submitted to the Secretary of the Travel Industry Compensation Fund Management Board or the person appointed under section 3(5)(a) of the Travel Industry Compensation Fund (Procedure for Ex gratia Payments) Rules within 24 months beginning on the date of the accident. 4. The Travel Industry Compensation Fund Management Board shall have absolute discretion to determine the amount of, or refuse any application for, ex gratia payment. 5. This form must be completed in duplicate and sent by post or delivered in person to the Secretary of the Travel Industry Compensation Fund Management Board at the following address- Travel Agents Registry, 8/F, West Wing, Central Government Offices, Lower Albert Road, Hong Kong. or the person appointed under section 3(5)(a) of the Travel Industry Compensation Fund (Procedure for Ex gratia Payments) Rules at the following address- ANNEX (To be completed by the traveller) I hereby authorize ................................................ to act on my behalf in applying for and receiving an ex gratia payment from the Travel Industry Compensation Fund. 2. My personal particulars are as follows- |
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