Cap. 363 sub. leg. A

Form of Assignment(Cap. 363, section 4(1))[2 January 1981](Format changes—E.R. 4 of 2021)Form of Assignment(L.N. 5 of 1981) Public Officers (Assignment of Emoluments) Ordinance (Chapter 363) 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)