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(Section A)Particulars of Registrant
Chinese Name
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English Name
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Gender
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HKID
e.g. A123456(7) Please input A123456
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HKID is invalid
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or
Passport No.
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Hong Kong Daytime Contact Tel. No.
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Email
e.g. abc@example.com
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Correspondence Address in H.K.
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Way of scattering
Scattering of Cremains in Gardens of Remembrance
Scattering of Cremated Ashes at Sea
(Section B)Particulars of Contact Person(s)
The Food and Environmental Hygiene Department (FEHD) may contact the following person(s) who has/have been made aware of my wish for green burial and may render assistance as necessary
Chinese Name
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English Name
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Gender
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Female
Phone
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Email
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Correspondence Address
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Relationship with the Registrant
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Chinese Name
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English Name
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Gender
Male
Female
Phone
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Email
e.g. abc@example.com
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Correspondence Address
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Relationship with the Registrant
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Registrant
Chinese Name
English Name
Gender
HKID
Passport No.
Hong Kong Daytime Contact Tel. No.
Email
Correspondence Address in H.K.
Way of scattering
Contact Person(s)
Chinese Name
English Name
Gender
Phone
Email
Correspondence Address
Relationship with the Registrant
Chinese Name
English Name
Gender
Phone
Email
Correspondence Address