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Certificate exempting Florrie Lee Hang Gong from the dictation test
[Main heading:] CERTIFICATE EXEMPTING FROM DICTATION TEST.
I, [handwritten] William Henry Lovegrove [end handwritten] the Collector of Customs for the State of [stamped:] Northern Territory of Australia [end stamp] in the said Commonwealth, hereby certify that [handwritten] Florrie Lee Hang Gong [end handwritten] hereinafter described, who is leaving the Commonwealth temporarily, will be exempted from the provisions of paragraph (a) of Section 3 of the Act if he returns to the Commonwealth within a period of [handwritten] 36 months [end handwritten] from this date.
[Illegible handwritten signature.]
Collector of Customs.
Date [Stamped:] SEP – 6 1916[.]
[Subheading:] DESCRIPTION.
[This portion of the page is divided into 2 columns. The questions are typed and the answers are all handwritten in black ink.]
[Left column.]
Nationality[:] Chinese (Aust born)
Age[:]16 years
Height[:] growing girl
Build[:] Slight
[Right column.]
Birthplace[:] Darwin
Complexion[:] Sallow
Hair[:] Black
Eyes[:] dark brown
[End columns.]
Particular marks[:] cut across tip of forefinger, left hand (see impression)
[Bold text:] (For impression of hand see back of this document.)
[Dividing line.]
[Subheading:] PHOTOGRAPHS.
Full Face:-
Profile:-
[Two photos side by side, each one with the label 'Florrie Lee Hang Gong' written on them ink black ink, followed by illegible initials. They are full face and profile photos of a young Asian woman with thick black hair in a plat, wearing a high-necked shirt and small earrings. Three stamps reading 'AUSTRALIA H.M. CUSTOMS, PORT OF DARWIN' have been stamped onto the photos where they join the form, so replacement of the photos would be obvious.]
[The next section of the page is divided into 2 columns. The questions are typed and the answers and handwritten in black ink]
[Left column.]
Date of Departure[:] 9/9/16
Ship[:] SS Eastern
[right column]
Port of Embarkation[:] Darwin
Destination[:] China
[Dividing line.]
[Left column.]
Date of return[:] 2/9/17
Port[:] Darwin
[Right column.]
Ship[:] SS Changsha
[Illegible handwritten signature.]
[Illegible handwritten signature.]
Customs Officers.
[Form number in footer:] A.214/2.17.-C.2503.
[Page 2.]
[Large bold heading:] IMPRESSION OF LEFT HAND.
[A large handprint in black ink covers most of the page. At the bottom of the page is a fingerprint in black ink.]
Florrie Lee Hang Gong
[Illegible initials.] 5/9/16
[Stamped in blue ink over the initials and date: 'AUSTRALIA H.M. CUSTOMS, PORT OF DARWIN.]
