The Cyprus Gazette

804
THE CYPRUS GAZETTE, HTH DECEMBER, 1936.
This certificate remains vaUd only until
after which date the holder(s) will not be
admitted to Cvprns.
I am.
Date
£
PAR-nc JUIJARS OF
c y.
ti. o
!
Your obedient servant.
Principal Immigration Offi,cer.
APPROV ED IMMIGRANT.
£
ccupftti
O
K
Addres
Particulars of persons accompanying (i) :
y.
Visa No. (2).
Date of Visa.
y.
^ -r
(Consular Seal.)
(^) In case where this form is presented in blank for
completion by His Majesty's Consul or Cj^jrus Immigration
Officer, only the names of the immigrant's wife and
infant children may be entered here.
(*) To be filled in by His Majesty's Consul.
FORM E.
The Immigration Regulations, 1936.
APPLICATION BY RESIDENT FOR
PERMISSION TO BRiXG DEPENDANT
INTO CYPRUS AS IMMIGRANT OF
CATEGORY C.
(Regulation 8.)
A. I, (a)
of (6) , C> y)rus. hereby apply
for permission to bring into Cyprus the following
per6on(s) who is/are dependent upon me :
• * _ ^ - ^
u
y. - - " o
•7 = 0?
.a D.
and hereby undertake to maintain him/her/them,
if he/she tbey is are permitted to enter Cypms,
for so long as he she they remain in Cypnis.
The following other persons arejdependent upon
me :—
;j
" • " ^
S
2.
9
^
My profession/occupation is
My aimual income (d) is not less than £.
The name of my employer (e) is
Date
(Signature)
M
9
CQ
•
e
.2 a
olat
shi
B. (To be filled in by two responsible persoru).
We hereby certify that (a)
of (6) , Cyprus, is well
known to us and that he possesses a yearly income
of not less than £ and that
he is in a position to support the personCs)
described above who is are dependent upon him,
and whose age(s) and relationship to him are to
our knowledge correctly stated.
Signature Signature
Date Date
Address Address
C. (e) I hereby certify tbat
has received from me wa^es at the rate of.
since...
Date.
(Signature of employer).
For office use only.
Approved CatPirory Refused
(Initials and date)
Certificate of Immigration No has beea
despatched :
Original to
Duplicate to
(Initials and date)
D. (To befitted in by officer accepting the application).
To
The Principal Immigration Officer,
Nicosia.
I am of the opinion, from the most recent
information at my disposal, that (a)
of (6)
Cypms, is able and willing to support the
person(s) described above if he/she/they is/are
permitted to enter Cy[)rus.
(/) The applicant's Registration No. as an
immigrant is
The applicant holds Certificate of British
NationaUty or NaturiiUzation Xo
Date
Place
Signature
Office
(a) Full name in block letters {surname laat).
{b) Address in full.
(c) If there are no otlier dependants insert "None".
(d) If income derived from more than one source, ff^*
details.
(c) Delete if inapplicable.
(/) Delete part inapplicable.
ΚΥΠΡΙΑΚΗ ΔΗΜΟΚΡΑΤΙΑ
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