Mar. 7.] THE NEW ZEALAND GAZETTE. 455

Form No. 43.
LICENSE TO AGENT.
"The Native Land Court Act, 1894."
In the Native Land Court,
New Zealand.
To
, of
.
You are hereby authorised to appear in Court as agent in
any matter or proceeding in which any person interested
therein may desire your appearance or assistance, subject to
the provisions of section 20 of "The Native Land Court Act,
1894."
Given under my hand, this
day of
, 189
, Judge.

N.B.—This license will expire on the 31st day of Decem-
ber, 189
. To avoid delay, applications for fresh licenses
should be forwarded to the Chief Judge, Wellington, not
later than the 30th November.

Form No. 44.
CHARGE BY WAY OF MORTGAGE UNDER SECTION 65.
In the Native Land Court,
New Zealand.
In the matter of "The Native Land Court Act, 1894," and
of an application by
, under section 65 of the Act,
in respect of the cost of survey of [Describe land in respect
of which costs incurred].
At a sitting of the Native Land Court held at
, on
the
day of
, 189
, before
, Esq.,
a Judge of the said Court:
Whereas it has been certified to the Court, in terms of
section 65 of the said Act, that [as in certificate, Form No.
46]: And whereas it appears to the Court that [name and
description] is the person entitled to receive payment of the
moneys certified to be due as aforesaid, and that the same
are still due and owing to the said
: Now, therefore,
it is hereby ordered that all that parcel of land containing
[Describe land with sufficient certainty], do stand charged
by way of mortgage, and the same is hereby charged accord-
ingly, with the payment to the said
, his executors,
administrators, or assigns, of the said sum of £
,
together with the further sum of £
for interest
thereon [or that all that parcel of land (Describe as above)
be, and the same hereby is, vested in the said
in fee-
simple, in satisfaction and discharge of such cost of survey].
As witness the hand of
, Esq., Judge, and the
seal of the Court, this
day of
,
189
, Judge.

Form No. 45.
CERTIFICATE OF COURT UNDER SECTION 67.
In the Native Land Court,
New Zealand.
In the matter of "The Native Land Court Act, 1894," and
of the application of
for a certificate under section
67 of the Act in respect of the survey [or subdivisional
survey] of [name of block or subdivision].
At a sitting of the Court held at
on the
day
of
, 189
, before
, Esq., a Judge of the said
Court:
It is hereby certified that the sum of £
is due
and owing to
in respect of the survey [or sub-
divisional survey] of the land known as
, contain-
ing
, in the Provincial District of
.
As witness the hand of
, Esq., Judge, and the
seal of the Court, this
day of
,
189
.

Form No. 46.
CERTIFICATE UNDER SECTION 65.
In the matter of "The Native Land Court Act, 1894," and
of a survey [or subdivisional survey] of [name of block or
subdivision].
I,
, Surveyor-General, hereby certify to the Court that
the survey above mentioned was made previous to [or was in
progress at the time of] the passing of the said Act, and that
the same has been completed and the plan thereof, numbered
, duly approved; and that the sum of £
being the reasonable cost [or a portion of the reasonable
cost] of such plan and survey, is now due and owing by the
Native owners of the said land to such person as the Court
shall decide to be entitled thereto.
Dated this
day of
, 189
.
, Surveyor-General.

Form No. 47.
CERTIFICATE OF CHIEF SURVEYOR UNDER SECTION 67 FOR
INDORSEMENT ON APPLICATION.
It is hereby certified to the Court, in terms of section 67 of
"The Native Land Court Act, 1894," that the survey in
respect whereof the within application is made was duly
authorised and has been properly performed, and the plan
thereof, numbered
, has been duly approved; and that
the sum of £
, for which a certificate is claimed in
the within application, is a fair and reasonable charge for
such survey [or is according to the authorised scale of
charges for the work performed].
As witness my hand this
day of
, 189
.
, Chief Surveyor,
District.

Form No. 48.
APPLICATION FOR AUTHORITY TO ENTER ON LAND.
"Te Ture Kooti Whenua Maori, 1894."
Ki te Tumuaki Kai-Ruri Whenua.
Ko matou ko nga tangata kua tuhi nei i o matou ingoa ki
raro iho nei ka tono atu ki a koe kia tukua he mana ki
a
kai ruri kia haere ia ki runga ki te Whenua, ko
te ingoa, ruri ai.
He mea tuhi i te
o nga ra o
, 189
.
Na
.

Form No. 49.
AUTHORITY UNDER SECTION 62 OF "THE NATIVE LAND
COURT ACT, 1894."
"The Native Land Court Act, 1894."
In the Native Land Court,
New Zealand.
In the matter of the Native land called or known as
:
, Esq., Surveyor, is hereby authorised to enter on
the said land for the purpose of making a survey thereof.
As witness my hand this
day of
, 189
.
, Surveyor-General.
Approved.
, Minister of Native Affairs.

Form No. 50.
FORM OF DECLARATION UNDER SECTION 39.
"The Native Land Court Act, 1894."
In the Native Land Court,
New Zealand.
In the matter of the land known as
.
I,
, of
, do solemnly and sincerely declare
that the application to the Chief Judge of the said Court,
annexed hereto, and marked A, has been signed by me with
my own proper handwriting [or mark], and that the state-
ments therein contained, so far as they relate to my own
acts and deeds, are true and correct in every particular, and,
so far as they relate to the acts and deeds of other persons,
I do verily believe them to be true and correct.
And I make this solemn declaration conscientiously
believing 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."
Declared at
, this
day of
,
189
, before me,
, Justice of the Peace
[or Solicitor, or Notary Public].

Form No. 50A.
Ahua Pukapuka Nama 50A.
FORM OF DECLARATION UNDER SECTION 39.
AHUA PUKAPUKA WHAKAATU I TE KUPU KI TUTURU PONO I
RARO I TEKIONA 39.
"Te Ture Kooti Whenua Maori, 1894."
I roto i te Kooti Whenua Maori,
Niu Tireni, Takiwa o
.
Mo runga mo te whenua e mohiotia ana ko
.
Ko ahau ko
o
e ki tuturu ana i runga i te
ngakau mairc me te ngakau pono ko te tono ki te Tumuaki
o te Kooti Whenua Maori, e piri nei ki tenei, a e tohungia
ana ki te reta A na toku ringa tonu i tuhi toku ingoa [taku
tohu ranei] ki taua tono. Ko nga korero o taua tono e pa
ana ki aku mahi e tika ana e pono katoa ana a ko nga
korero o taua tono e pa ana ki nga mahi a era atu tangata
ki taku mahara tuturu e tika ana e pono ana.
Na ka whakapuakina e ahau tenei kupu tuturu i runga i
taku mahara e pono ana taua kupu i runga hoki i te mana o
tetahi Ture a te Parcmete o Niu Tireni e huaina ana ko "Te
Ture mo nga Kai-whakawa, 1882."
I whakapuakina ki
i tenei te
o nga
ra o
, 189
, i te tau
, ki toku
aroaro.
, Kaiwhakawa.
[Roria.]