Cap. 363A 《轉付薪酬表格》Form of Assignment

Form of Assignment

(Cap. 363, section 4(1))

[2 January 1981]

(Format changes—E.R. 4 of 2021)

Treasury Reference Number .To: The Director of Accounting Services

Starting from		, please deduct
	(date)		(amount)

($

) each month from my monthly emoluments

for		months and remit monthly this amount direct
	(number)

to		under reference number
	(name of institution)
I am aware that under the Public Officers (Assignment of Emoluments) Ordinance this assignment will be irrevocable unless cancelled by or under the provisions in that Ordinance.

Date		Signed
		Name of Officer
		In the presence of
		Address of Witness
		Occupation
I . being an authorized officer under the Public Officers (Assignment of Emoluments) Ordinance hereby grant permission to the above officer to assign to the abovenamed institution from his emoluments the amount of the instalments specified above.

Signature

Date

Office

(L.N. 263 of 1996)