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FOR OFFICIAL USE ONLY

Application reference number



Registration of Persons Office
Immigration Department
The Government of the Hong Kong Special Administrative Region

Application for Amendment of Registered


Particulars of Hong Kong Identity Card

Notes for Guidance:


(i)
For persons under the age of 18, this form must be signed by a parent or legal guardian.
(ii)
This form may be completed in either Chinese or English but must be in black ink.
(iii)
This form is issued free of charge.
(iv)
This form may be returned to the Headquarters of Registration of Persons Office by mail at Immigration Tower, 7 Gloucester Road, Wan Chai, Hong Kong.
(v)
It is an offence in law to make a statement or furnish information upon application which is false in any material particular.

A. Particulars of Applicant
1. (@)
English name on identity card (Surname first) (@Mr/Mrs/Ms/Miss)

2.
Chinese name on identity card (if any) Identity card no.
3. #
Residential address Contact tel. no. #
4.
Profession / occupation

5. #
Business address (if applicable) Tel. no.#

B. Amendments Requested
: NB

Attention : Following amendment of the registered name / date or place of birth, the new identity card issued may bear a symbol N / B denoting that
the reported name / date or place of birth has been changed since the first registration.
1.
Chinese name: From To
2.
English name: From To
3.
Date of birth: From To
4.
Place of birth: From To
5.
Other amendment(s): ...........................................................................................................................................................................................................
...........................................................................................................................................................................................................
C. Reasons for Amendment

........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................................................

D. Supporting Documents (Preferably issued before the date of identity card registration)

1. ................................................................................................................................................................................................................................................
2. ................................................................................................................................................................................................................................................
3. ................................................................................................................................................................................................................................................
E. Declaration

( ) _______________________________I, (Name) _____________________________________, declare that:


*
The above information given in this application is correct to the best of my knowledge and belief.

*

I am the applicants father/ mother/ legal guardian and my rights in respect of the applicant have not been limited in any way by the order of any court.


Signature ________________________ Date __________________________
* Please tick this item if applicant is under 18 years of age. # Optional item
@ Delete where inappropriate.
Please put a tick in the appropriate box
ROP 73 (6/2017)

1.
(a) (177)
(b) (3)
(c)
(d ) (177) 11

(e) (115) (331)

( f )
(g)
(177A)

2. 1

3. () 182216

4.



()
28293429

5. www.immd.gov.hk (2824 6111) (2877 7711)


(enquiry@immd.gov.hk)

Statement of Purpose
Purpose of Collection
1. The personal data furnished in the application will be used by Immigration Department, the Government of the HKSAR for one or
more of the following purposes:
(a) to process your application for registration and application for an identity card under the Registration of Persons Ordinance
(Chapter 177) and its subsidiary Regulations;
(b) to enable the Registrar of the High Court to compile a provisional list of jurors under the Jury Ordinance (Chapter 3);
(c) to enable the Registration and Electoral Office to update the electoral register;
(d ) to exercise the powers and carry out the duties under the Registration of Persons Ordinance (Chapter 177) and its subsidiary
Regulations including disclosure of information as permitted in writing by Chief Secretary for Administration by virtue of section
11 of the Registration of Persons Ordinance;
(e) to administer/enforce relevant provisions of the Immigration Ordinance (Chapter 115) and Immigration Service Ordinance (Chapter
331), and to assist in the enforcement of any other Ordinances and Regulations by other government bureaux and departments
through carrying out immigration control duties;
( f ) to serve statistical and research purposes on the condition that the resulting statistics or results of the research will not be made
available in a form which will identify the data subjects or any of them; and
(g) for any other legitimate purposes as may be required, authorized or permitted by law.
The provision of personal data is obligatory for registration under the Registration of Persons Regulations (Chapter 177A). Any person who
without reasonable exeuse, fails to comply with the statutory requirement shall be guilty of offences under the Ordinance. In addition, if you
do not provide sufficient information, we would not be able to process your application.
Classes of Transferees
2. The personal data you provide may be disclosed to government bureaux, departments and other organisations for the purposes
mentioned in paragraph 1 above.
Access to Personal Data
3. You have a right to request access to and correction of your personal data as provided for in sections 18 and 22 and Principle 6 of
Schedule 1 of the Personal Data (Privacy) Ordinance. Your right of access includes the right to obtain a copy of your personal data provided
in this form subject to payment of a fee.
4. Enquiries concerning the personal data collected by means of this form, including making of access and corrections, should be addressed to:
Executive Officer (Registration of Persons) Support
12/F Immigration Tower,
7 Gloucester Road,
Wanchai, Hong Kong
Tel: 28293429
Enquiries
5. If you have any enquiry, please refer to the Immigration Department website: www.immd.gov.hk. You may also call our enquiry hotline
at 2824 6111, or send your questions to our Information and Liaison Section by fax at 2877 7711 or e-mail at enquiry@immd.gov.hk.

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