SWD 581 me pas sogl FARE DEPARTMENT ea Date of issue 06/06/2016 Fa a PRB SZ) ae FB Se Certificate of Comprehensive Social Security Assistance Recipients (for Medical Waivers) th Kt SCH AER: 20164F3 68 Casefile Ref LCK-C-035223 Valid from: 0603/2016 ——= — be, aE Name of Recipient Identity Document No.| Valid until Ka7846 sur2ans |AZIZ.NIAF 682973 si0si2016 [TARIQ HUMZA [xXXXXXKAKX baooxmccnx | 2000KXXX KHANH AANA KAKA [xxXXXAAAKX banca —_ | 000K3000K XXXXXNXHANK ARR NNAKERKARI paconnncx XXXXXXRXXX | XXXXXXARXX IXXXXXXXXXXNAAAXAANAKKARN |XXXXXXXXXX XXXKXKRXKK | XXKAXXAAXK [XXXXANHARKAKKNAKKARKKKRXKK poxcnncx XXXXXXXXXX | XXXXXXARXK XXX NAN ANK NAKNEK ERR Lea ORANG Ey Sa Ce NP HRI RR ETL = This is to certify that the above named Comprehensive Social Security Assistance (CSSA) recipients are entitled to the ‘waiver of medical charges at a public clinic or hospital inluding the Accident & Emergency Department) during the validity period. (aks AECL RRR A Ea PERM «LA POS OSCR RE «DE Lite RSLS PEIN FREEONES + TERR eR TET ‘Remarks: For the personal data collection purposes stipulated in the CSSA application form, the above personal data have been transferred to the Hospital Authority (HA) for waiving medical charges when the above persons receive medical ‘weatment in hospitals under HA, MS CHAN SAU VIN STEFANIE SUPERVISOR, LAT CHI KOK SOCIAL SECURITY FIELD UNI SOCIAL WELFARE DEPARTMENT