7

Fire Services Department | 香港消防處

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Fire Services Department | 香港消防處
Page 2: Fire Services Department | 香港消防處
Page 3: Fire Services Department | 香港消防處
Page 4: Fire Services Department | 香港消防處
Page 5: Fire Services Department | 香港消防處
Page 6: Fire Services Department | 香港消防處
Page 7: Fire Services Department | 香港消防處

4;tr.t .

To:

EieifjFrtr fs+qffi;R

/t ff E rQ i4 rg H *tl Ht HI E - ffil9f'j i fr #,*lj li /tr 7 trdi J L.t€

Hong Kong Fire Services Department Support Division

North wing, 7/F, t Hongchong Road, Tsim sha Tsui East, Kowloon, Hong Kong

€;t- (rel): 2L7o s67e i$f i(Fax): 23e13G1e

{s+iH[EaaffiH+;tr*Building Fire Safety Envoy Application Form

(;fiArHH{iE.frEL / ffi') (ptease add a / where appropriate)

+X*+.& Chinese Name

ffiffi ritle ft,+- / k* / 4'lH MrlMs/Miss

H(n---rtffibffi rc No.

f f i+&ff i Buitding Name

iF��'Xy+& English Name

fr+-+fn Year of Birth

fF+t&!l Building Address

itE nrea

ffiffi+BflIfr Relation with the buitding

^A /ffiffi Company / Organization

E;fli&ll correspondence address

€ifi rel.

I 6i8 H.x

XT. / TE€.

f /uFE rtru

/ +nxtrwT #iF N.T.

,�e�Hr,fi*et{F?

Are you a FSA ?

ffiffi necommended by

L___.1 ,,|.E-

f Yes

f

!

rT

iSF rax

f_l ;4<L___l Ef

I t to

ffi$fl Email

tnB , t9f'fifr+^1fuFfll,ffi4ffi

l f yes, FSA No.:

[email protected],X+E€ District Fire Safety Committee

iH[ttr+/rffi.&EgF-g^ FSAHPA

+nXtrIE^El Property Management Company

#.ItRi*H Incorporated Owners

ff€ Signature EII{E Date