Lands Department - Application Form for Display of Roadside Non-Commercial Publicity Materials

Part 1
Application Info.

Part 2
Applicant’s Particulars

Part 3
Note

Part 4
Undertaking & Declaration

Part 5
Authentication

Part 1
Application Information

(A) Details of Proposed Publicity Materials to be Displayed

(1) Display Period
(less the last two days)

(3) Publicity Materials

(i) Type of Materials

(ii) Purpose

(a) Name of Event/Function/Service

(b) District Event/Function/Service

(iii) Size

Height:

metres,

Length:

metres

(iv) Contents

(v) Banner Layout

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Part 2
Applicant’s Particulars

(B) Particulars of the Applicant

(1) Name of Organization

Non-governmental organizations (NGOs) or charitable bodies subvented by government

Non-governmental organizations (NGOs) or charitable bodies exempted from paying tax under Section 88 of the Inland Revenue Ordinance

Organization registered under the Society Ordinance Cap. 151

Trade union registered under the Trade Union Ordinance Cap. 332 and the Trade Union Registration Regulations Cap. 332A

Legally Registered Body

Government Organization

Copy of Organization Certificate

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(2) Address

(3) Correspondence Address
(if different from the above)

(4) Name of Contact Person

Position

Email address

Tel. No.

Fax No.

Applicant's Information

* I declare that I have read and understood the above notice.

Part 3
Note

Note

Part 4
Undertaking & Declaration

(C) Undertaking

(D) Indemnity

(E) Declaration

(F) Consent to Disclose

* I declare that I have read and agree to the terms and conditions.

Official chop of Organization

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Full Name

Date