758
THE NEW ZEALAND GAZETTE.

SCHEDULE.

FORM A.

FORM OF APPLICATION TO BE EXAMINED.
To be filled up by the Candidate himself.

Class of Examination (Junior or Senior
or both)
Christian Name and Surname (in full)
Address to which the result of the Ex-
amination is to be sent
Date of birth ... ... ...
Age last birthday
Place of birth ... ... ...
Father's Name ... ... ...
" Residence ... ... ...
" Profession or Trade ... ... ...
(If deceased, give last residence, &c.)
School or Schools at which educated,
with length of stay at each
Age on finally quitting School ...
Employment since quitting School
(Full particulars should be given under
this head of your Employers' names,
addresses, and business, your posi-
tion and salary, length of stay, and
cause of leaving each situation.)
Optional subjects selected in Senior Ex-
amination
Usual signature, and date

FORM B.

REGISTER of Candidates Examined by the Board of Civil
Service Examiners.

No.
Name.
Age.
Examination
(Junior or Senior
or both)
Date of
Examination.
English.
Arithmetic.
Latin.
Geography.
History.
Greek.
French.
German.
Maori.
Algebra.
Geometry.
Physical
Science.
Book-keeping.
Shorthand.
Total No.
of Marks.
Remarks.
Result.

Maximum and Minimum Number of Marks.

Nora.-N.P.-Not passed. 1st Class, 2nd Class, 3rd Class-Passed in 1st,
2nd, or 3rd Class of Merit. I=Did not attempt the subject.

FORM C.

JUNIOR EXAMINATION.

We hereby certify that on the day of , 187
was duly examined according to the provisions of "The Civil
Service Act, 1866," and that he has passed his Junior Examina-
tion qualifying him for an appointment in the Civil Service of
the Colony.

Dated at Wellington, this day of , 187
Chairman of the Board of
Examiners.
Secretary.

FORM D.

SENIOR EXAMINATION.

We hereby certify that on the day of , 187
was duly examined according to the provisions of "The Civil
Service Act, 1866," and that he has passed his Senior Examina-
tion qualifying him for promotion in the Civil Service of the
Colony.

In the First Class of Merit for
In the Second Class of Merit for
In the Third Class of Merit for

Dated at Wellington, this day of , 187
Chairman of the Board of
Examiners.

N.B. No particular Text Books are prescribed;
the following are suggested as useful, but the Board
of Examiners do not bind themselves to their use
exclusively :-
English Grammar and Analysis-Morell's.
Greek and Latin Authors-Any good text.
Arithmetic-Colenso's or Barnard Smith's.
Algebra-Colenso's.

Euclid-Potts', Cambridge.
Natural Philosophy-Ward's Elements of Natu-
ral Philosophy.
Chemistry-Smith's Inorganic Chemistry for
Elementary Classes, fourth edition.
Zoology-Nicholson's Introductory Text Book
for Junior Classes.
Botany-Oliver's Lessons on Botany.
Geology-Page's Introductory Text Book.
English History-Dr. Smith's smaller.
Geography-Hughes'.
Shorthand-Pitman's.

Registering Officers appointed under "The Miners
Rights Extension Act, 1874."

Colonial Secretary's Office,
Wellington, 10th November, 1874.

HIS Excellency the Governor has been pleased to
appoint the following gentlemen to be Regis-
tering Officers under "The Miners Rights Extension
Act, 1872," viz.,-

Province of Westland.
WILLIAM HORTON REVELL, Esq.

Province of Nelson.
CHARLES BROAD, Esq.
LOWTHER BROAD, Esq.
JOSEPH GILES, Esq., and
FRANK GUINNESS, Esq.

DANIEL POLLEN.

Provincial Returning Officer appointed.

Colonial Secretary's Office,
Wellington, 10th November, 1874.

HIS Excellency the Governor has been pleased to
appoint the under-mentioned gentleman to be
a Returning Officer for the election of Members of
the Provincial Council of the Province of Westland
for the Electoral District set opposite his name :--
MATTHEW PRICE, Esq. - Okarito.

DANIEL POLLEN.

Provincial Registration Officer appointed for the
Province of Westland.

Colonial Secretary's Office,
Wellington, 11th November, 1874.

HIS Excellency the Governor has been pleased to
appoint
GERARD GEORGE FITZGERALD, Esq.,
to be the Registration Officer for the Province of
Westland for the purpose of framing Electoral Rolls
for the election of the Superintendent and of the
Members of the Provincial Council of the said Pro-
vince.

DANIEL POLLEN.

Local Analyst for Auckland appointed.

Colonial Secretary's Office,
Wellington, 11th November, 1874.

HIS Excellency the Governor has been pleased,
in conformity with the provisions of "The
Adulteration of Food Act, 1866," to approve the
appointment by His Honor the Superintendent of
Auckland of

JAMES MAZZINI TUNNY, Esq.,
to be a Local Analyst under the said Act, within
the Province of Auckland.

DANIEL POLLEN.