1596
THE NEW ZEALAND GAZETTE.
[No. 65

3. What is your business address?
4. What are your age and height?— years months.
5. What is your trade or calling?
6. In whose employ are you, and are you an apprentice?— Mr. , in or near the Town of .
7. Are you willing to be enrolled to serve as a Volunteer in the above corps?
8. Do you belong to, or have you ever served in any, and, if so, in what, Naval or Military Force?
9. If you have belonged to any Volunteer corps, did you voluntarily resign, or were you dismissed?
   I, , do hereby declare the foregoing replies to be true.
   [Signature of Volunteer.]
   [Witness.]

OATH TO BE TAKEN BY VOLUNTEERS.
I, , do sincerely promise and swear that I will be faithful and bear true allegiance to Her Majesty Queen Victoria, and that I will faithfully serve in the Volunteer Force until I shall be lawfully discharged.
Witness my hand.
[Signature of the Volunteer.]
[Witness present.]
Sworn before me, at , this day of , one thousand eight hundred and .
[Signature of Attesting Officer.]

CERTIFICATE OF ATTESTING OFFICER.
To wit. } I, , do hereby certify that, in my presence, all the foregoing questions were put to , that the answers written opposite to them are those which he gave me, and that he took the oath of allegiance and fidelity.
[Signature of Attesting Officer.]

CERTIFICATE OF ADJUTANT OR COMMANDING OFFICER.
having been duly enrolled to serve in the Volunteer Corps, I have caused his name and every prescribed particular to be recorded in the Muster-roll, with the regimental No. affixed to his name.
[Signature of Adjutant or Officer Commanding District.]

FORM V.-2.
Volunteers.
I CERTIFY that No. , who was enrolled in the Volunteers on the , has applied for his discharge, and that he has paid all fines, penalties, or subscriptions debited against him, which have been duly credited to the funds of the corps, and returned clean and in good order the arms, accoutrements, and Government property which were on issue to him [except the under-mentioned, the cost of which he has paid for: to be scored out if everything on issue was returned complete].
Commanding Volunteers.
Place:
Date:

FORM V.-3.
DISCHARGE CERTIFICATE.
I CERTIFY that No. was enrolled in the Volunteers on the , and that he has been returned as an efficient Volunteer for the years noted in the margin, and is now discharged from the Volunteer Force at his own request [or as the case may be]
Commanding District.
Place:
Date:

FORM V.-4.
TRANSFER CERTIFICATE.
I CERTIFY that No. , who has applied for a transfer to the Volunteers, was enrolled in the Volunteers on the , 188 , and that he has paid all fines and subscriptions due, and returned all Government property on issue to him clean and in good order.
I further certify that he has up to date attended the following Government drills:—
Government Drills:
Daylight Drills:
Commanding Volunteers.
Place:
Date:

FORM V.-5.
Form of CERTIFICATE to be used on landing or taking over the Arms, Accoutrements, &c., of a Corps.
I CERTIFY that I have handed over to the arms, accoutrements, and Government property on issue to the Volunteers correct and in good order, and further that all books, records, &c., connected with the interior economy of the company have been duly filled in to date and handed over at the same time.
[Signature and rank]
Commanding Volunteers.
Date:
I certify that I have received over the arms, accoutrements, and Government property, company’s books, and records referred to in above certificate from , and am perfectly satisfied with the correctness and state of the same.
[Signature and rank]
Commanding Volunteers.
Date:

FORM V.-6.
CERTIFICATE OF EFFICIENCY FOR A RECRUIT.
I CERTIFY that , of the Volunteers, was enrolled on the 188 , and that he has attended hours’ recruit drill, fired rounds ball cartridge at target practice, and gone through period judging-distance practice.
I further certify that he is proficient in his drill, and qualified to take his place in the ranks of his corps as an efficient Volunteer.
[Signature of Adjutant or other officer of paid staff.]
Date:

FORM V.-7.*
RETURN OF ORDNANCE, and IMPLEMENTS belonging thereto, in Possession of , 188 .
Artillery Volunteers,
stationed at , for Half-year ending .

Ordnance.
Breech-loading Guns.
6-Pounders.
12-Pounders.
24-Pounder Howitzer.
12-Pd. S.B. Iron Guns.
24-Pd. S.B. Iron Guns.
32-Pd. S.B. Iron Guns.
64-Pd. R.M.L. Guns.

Felling.
Pick.
Bags, Canvas.
Bars, Splinter.
Iron.
Wood.
Long.
Short.
Bolts, Eye, Heating.
Hand.
Hook.
Borers.
Ammunition Limber.
Black.
Blue.
Composite.
Fuze.
Grease.
Nail.
Tube.
Carriage, Water.
Brushes.
Cleaning.
Buckets, Leather.
Breech.
Brushes, Copper.
Vent-piece.
Cartridge, Drill.
Cartridge Cases, Leather.
Cases, No. 3.

Boxes.

Remaining on charge or Received
Total received:
Written off
Total written off
Remaining on charge