HKLII Hong Kong Regulations

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MASSAGE ESTABLISHMENTS REGULATIONS - SCHEDULE 1



(Past version on 06/30/1997).

Remarks:
For the transitional provision relating to the amendments made by the Massage Establishments (Amendment) Regulation 2003 (L.N. 51 of 2003), see section 4 of the Regulation.
[regulations 2, 3 & 5]
FORM 1
[regulation 2]

Application No. ......................................
MASSAGE ESTABLISHMENTS ORDINANCE

(Chapter 266)
MASSAGE ESTABLISHMENTS REGULATIONS

To the Commissioner of Police
APPLICATION FOR THE ISSUE/RENEWAL OF
A MASSAGE ESTABLISHMENTS LICENCE

I ........................................................................................ hereby apply for a licence to operate a massage establishment at ......................................................................................................................................................
In support of my application I submit the following information and particulars-
PART I

PERSONAL DETAILS OF APPLICANT

1. Name (in English and in Chinese) .................................................................................................................... 2. Identity Card No. ................................................................................. (C.C.C. No. .....................................)
3. Residential address ....................................................................... (Telephone No. ........................................)
4. Business address ................................................................................... (Telephone No. ...............................)
5. Date and place of birth ....................................................................................................................................
6. Nationality ...................................................................................................................................................... 7. Indicate by deleting as necessary whether you are literate in-
(a) the Chinese language only;
(b) the English language only; or
(c) both the Chinese language and the English language.

BUSINESS DETAILS
8. Name (in English and in Chinese) of the proposed massage establishment ..........................................................
.......................................................................................................................................................................
9. Address of the proposed massage establishment (including floor, and flat/shop/unit number as appropriate) .......................................................................................................................................................................
.......................................................................................................................................................................
10. Indicate by deleting as necessary whether the proposed massage establishment will be in premises that are-
(a) a wholly commercial building;
(b) a wholly residential building; or
(c) a mixed commercial and residential building.
11. If the premises is a mixed commercial and residential building is there direct access from the commercial to the residential area? YES/NO
12. Indicate by deleting as necessary whether you are-
(a) the owner of the premises in which the massage establishment will be situated;
(b) the principal tenant of such premises; or
(c) a sub-tenant of such premises.
13. If you are not the owner of such premises, you are required to supply the owner's name and address, and details of any agent through whom the owner may be contacted-
(a) Name of owner (in English and in Chinese) ............................................................................................... (b) Name of agent of owner (in English and in Chinese) .................................................................................. 14. Indicate by deleting as necessary whether the massage establishment will be owned by-
(a) you;
(b) another individual;
(c) a partnership; or
(d) a body corporate.
15. If the massage establishment is to be owned by another individual you are required in respect of that individual, to supply name in English and in Chinese, CCCs if applicable, Hong Kong Identity Card number, residential and business addresses and telephone numbers-
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
.......................................................................................................................................................................
16. If the massage establishment is to be owned by a partnership you are required to state-
(a) The date the partnership was formed ........................................................................................................
(b) Details of partners:
Name (in
English and
in Chinese)
Identity
Card No.
Date of
birth
Residential
address and contact
telephone number
(1)
...................................
......................
................
.............................
(2)
...................................
......................
................
.............................
(3)
...................................
......................
................
.............................
(4)
...................................
......................
................
.............................
17. If the massage establishment is to be owned by a body corporate you are required to state-
(a) Company name .......................................................................................................................................
(b) Registered office .....................................................................................................................................
...............................................................................................................................................................
(c) Date and place of incorporation ................................................................................................................
(d) Details of directors:
Name (in
English and
in Chinese)
Identity
Card No.
Date of
birth
Residential
address and contact
telephone number
(1)
...................................
......................
................
...........................
(2)
...................................
......................
................
...........................
(3)
...................................
......................
................
...........................
(4)
...................................
......................
................
...........................
18. In respect of each bank at which an account is maintained or is intended to be maintained in connection with the operation of the massage establishment you are required to state-
Name and
address of bank
Account No.
Date
Account opened
(1)
..................................................
.....................
...................................
(2)
..................................................
.....................
...................................
(3)
..................................................
.....................
...................................
(4)
..................................................
.....................
...................................
19. If any person is to be employed as a manager, assistant manager or in any way assist you in the management of the massage establishment you are required to provide-
Name (in
English and
in Chinese)
Identity
Card No.
Date of
birth
Residential
address and contact
telephone number
Nature of employment
(1)
......................
.................
...........
......................
.......................
(2)
......................
.................
............
......................
.......................
(3)
......................
.................
............
.......................
.......................
(4)
......................
.................
............
.......................
.......................

OTHER INFORMATION

20. (a) Have you ever previously applied for a massage establishment licence? YES/NO
(b) If "Yes" state- 21. (a) Have you ever been convicted in Hong Kong or elsewhere for any offence (except a traffic offence for which you were fined $1000 HK Dollars or its equivalent in other currencies or less and did not suffer the loss of your driving licence)? YES/NO
(b) If "Yes" state-
Date of
hearing
The offence
Penalty
(if any) imposed
Court
which tried
the offence
(1)
...................................
....................
..............
............................
(2)
..................................
.....................
...............
............................
(3)
.................................
......................
...............
............................
(4)
.................................
......................
................
............................
PART II

DOCUMENTS TO BE SUBMITTED BY APPLICANT

22. You are required to submit, together with this application, the following documents-
I DECLARE that the information and particulars submitted by me in support of this application are, to the best of my knowledge and belief, both true and correct. I have read the Massage Establishments Ordinance (Chapter 266) and the Massage Establishments Regulations made thereunder. I understand that section 13(3) of the Ordinance provides that any person who makes any false or misleading statement or furnishes any false or misleading information in connection with any application for the issue or renewal of a licence commits an offence and shall be liable to a fine of $50000 and to imprisonment for 6 months.

Signed ...........................................
Applicant.
(L.N. 510 of 1996; L.N. 51 of 2003)
FORM 2
[regulation 5]
Licence No. ..........................................
MASSAGE ESTABLISHMENTS ORDINANCE

(Chapter 266)

MASSAGE ESTABLISHMENT LICENCE

LICENCE is granted this .................................. day of ..................................... 20 ............ to (name) .............................................. (Hong Kong Identity Card No. ...................................) to operate a massage establishment at (address of premises) ......................................................................................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
for a period of 12 months/24 months* from date of grant. THIS LICENCE is subject to those conditions endorsed on the document attached hereto.

Fee:
Photograph


...........................................................
for Commissioner of Police.
*Delete as appropriate.
(L.N. 510 of 1996; L.N. 51 of 2003)


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