持牌食物業處所更改獲批准圖則申請書Application ... - 食物環境衞生署
持牌食物業處所更改獲批准圖則申請書Application ... - 食物環境衞生署
持牌食物業處所更改獲批准圖則申請書Application ... - 食物環境衞生署
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公司註冊號碼:<br />
Company Registration No.<br />
(3) 持牌處所地址:<br />
Address of the Licensed Premises<br />
室/鋪 樓 座<br />
Flat/Rm/Shop Floor Block<br />
大廈<br />
Building<br />
屋邨/鄉村<br />
Estate/Village<br />
街道名稱及號碼<br />
No. and Name of Road/Street<br />
如涉及多於一條<br />
街道,請詳述 (if more than one road/street is involved, please specify)<br />
分區<br />
地區<br />
Sub-District District<br />
地段號碼(如適用) 香港 九龍 新界 離島<br />
Lot Number (if any) HK Kln NT Islands<br />
(4) 牌照號碼 : ___________________<br />
Licence No.<br />
(5) 店名 : ____________________________________________________________________________________<br />
Shopsign<br />
(6) 通訊地址 (如與上址不同) : ________________________________________________________________<br />
Correspondence Address (if different from the above)<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
(7) 電話號碼 : _________________________________ 傳真號碼 : ________________________________<br />
Tel. No. Fax No.<br />
FEHB 230 (7/2012) 2
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