Mar. 7.] THE NEW ZEALAND GAZETTE. 451

hereby make application to have the restrictions on the
alienation of that land removed or made void.

| Signatures of | Individual | Signatures of | Date. |
| Owners. | Addresses. | Witnesses. | |

Form No. 27A.
Ahua Pukapuka Tono Nama 27A.
APPLICATION TO GOVERNOR FOR REMOVAL OF RESTRICTIONS.
TONO KI TE KAWANA KIA WETEKIA TE HERE.
Ki a te Kawana.
Ko matou, kua tuhi nei i o matou ingoa me a matou tohu ki
raro iho nei, etahi o nga tangata no ratou te whenua e
mohiotia ana ko eka ruuri
paati te nui, e puritia ana i raro i tetahi [Me whakaatu te
take ki te whenua—he Karauna Karaati, Tiwhikete Take,
Ota o te Kooti, aha ranei] he mea tuhituhi i te o nga
ra o , 189 , ka tono atu nei kia wetekia kia whaka-
korea atu nga here arai i te hoko i te tuku hoki o taua
whenua.

| Nga Ingoa o nga | Te Kainga o ia | Nga Ingoa o nga | Te Ra i tuhia |
| Tangata no ratou | Tangata o ia | Kai-titiro. | ai. |
| te Whenua. | Tangata. | | |

Form No. 28.
ORDER ANNULLING AND VARYING RESTRICTIONS.
"The Native Land Court Act, 1894."
In the Native Land Court, }
New Zealand. }
In the matter of the land known as , held under
, and of an application to annul or vary the
restrictions on the alienation thereof.
At a sitting of the Court held at , before
, Esq., Judge, and , Assessor:
The Court, being satisfied, on public inquiry, that, apart
from the said land, the owner [or owners] thereof has
[have] other land, or shares in other land, the title whereto
has been determined by the Court, belonging to him [or
them] in his [or their] own right, and sufficient for his [or
their] maintenance and occupation; and that, as to the said
land the subject of this order, those appearing as owners,
and all others having a beneficial interest, or one-third in
number of them, concur in the proposed removal:
It is ordered that the restrictions on the alienation of the
said land be, and the same are, hereby annulled [varied, and
that the said land shall, from the date hereof, be subject to
the following restrictions, that is to say, , unless and
until the same shall be annulled or varied by some further
order of the Court].
As witness the hand of , Esq., Judge, and the
seal of the Court, this day of
, 189 .
, Judge.

Form No. 29.
REPORT AND RECOMMENDATION AS TO REMOVAL OF
RESTRICTIONS.
In the Native Land Court, }
New Zealand. }
To His Excellency the Governor of New Zealand.
May it please your Excellency:
In pursuance of the provisions of "The Native Land
Court Act, 1894," I have the honour to report that, at a
sitting held at , on the day of , 189 ,
before me, one of the Judges of the said Court, and
, Assessor, the Court made public inquiry into the matter of
the application of for the removal of the restrictions
upon alienation of the land described in the Schedule here-
under written, and that the Court is [or is not] satisfied
that, apart from the said land, the owners thereof have and
each of them has other land, or shares in other land (the
title whereto has been determined by the Court), belonging
to them in their own right and sufficient for their main-
tenance and occupation. The recommendation of the Court
to your Excellency is [as the case may be].
I have the honour to be,
Your Excellency's most obedient servant,
, Judge.

The Schedule above referred to.

| Name of Land and | Title and Date | Restrictions. |
| District. | of Issue. | |

Form No. 30.
APPLICATION FOR CONFIRMATION OF ALIENATION.
"The Native Land Court Act, 1894."
I HEREBY make application to the Native Land Court, under
the provisions of "The Native Land Court Act, 1894," to
confirm the alienation of which particulars are set out here-
under:—
Name of land alienated: .
Date of deed: .
Nature of alienation: .
Natives alienating: .
Persons to whom alienation made: .
Area of land: .
Consideration: .
Rent:
Maori translation by .
Attested by .
Fees on application: (Stamps.)
Dated this day of , 189 .
Signature of applicant: .

Form No. 31.
DECLARATION BY NATIVE ALIENATING LAND.
In the matter of "The Native Land Court Act, 1894"; and
in the matter of the application of , of
, in the Provincial District of , in the Colony of New
Zealand, for a confirmation order.
I, , of , in the Provincial District of
, in the Colony of New Zealand, an aboriginal native, do
solemnly and sincerely declare—

1. That I am the named in a certain deed of
   , dated the day of , 189 , made
   between , produced and shown to me at the time of
   my making this declaration.
2. That the statement in the Maori language of the effect
   of the said deed, certified as correct by , licensed
   interpreter, was indorsed on the deed, and was read over to
   me by the said interpreter [or by , licensed inter-
   preter] before I signed the deed; and he at the same time
   orally explained to me the effect of the deed.
3. That no spirituous liquors, arms, or warlike stores
   formed the consideration, or part of the consideration, for
   the said deed, or are to be received by me.
4. That the sum of has been duly paid to me by
   the as and for [my share of] the consideration of
   the said deed.
5. That the land dealt with in the said deed of
   is not held in trust for the benefit of any Native community.
6. That I have sufficient land left for my occupation and
   support: namely, acres at , and acres
   at .
7. That I perfectly understand the nature of the said
   deed, as explained to me as aforesaid, and that I have no
   complaint to make regarding this transaction.
8. That [Here state nature of title, whether Crown grant or
   otherwise].
   And I make this solemn declaration conscientiously be-
   lieving the same to be true, and by virtue of an Act of the
   General Assembly of New Zealand intituled "The Justices
   of the Peace Act, 1882," and its amendments.

Made and subscribed at , in the Provincial
District of , in the Colony of New Zea-
land, this day of , in the year of
our Lord 189 , before me, one of Her Majesty's
Justices of the Peace in and for the said colony,
the same having been first read and translated
to the declarant in my presence by , a
licensed interpreter, when the declarant seemed
perfectly to understand the same.