Jan. 30.] THE NEW ZEALAND GAZETTE. 241

THE SCHEDULE ABOVE REFERRED TO.

The above application, &c. [as in Form 14].

Form 20 (Reg. 23).

Under “The Mining Act, 1898.”

OBJECTION BY AN OBJECTOR.

In the matter of an application numbered __ in the Application Record-book, at __, for a [Here state nature of application to which objection is made].

I, A.B. [Name in full], of [Residence and occupation], do hereby give notice that I intend to object to the granting of the above-described application, and the following are the grounds of my objection, namely,—

[Here set out grounds of objection clearly, concisely, and in consecutive paragraphs.]

The address for service is __.

Dated at __, this __ day of __, 1 __.

Signature of applicant: A.B.

[Or, as the case may be, A.B.

(by his Solicitor or Registered Agent, C.D.).]

Form 21 (Reg. 23).

Under “The Mining Act, 1898.”

DECLARATION TO ACCOMPANY APPLICATION TO SURRENDER, WHETHER ABSOLUTELY OR FOR PURPOSES OF EXCHANGE, WHERE ALL OR ANY OF THE INSTRUMENTS OF TITLE ARE LOST.

In the matter of an application by __ to surrender certain mining privileges, which application is numbered __ in the Application Record-book at __, in the Mining District.

I, A.B. [Full name], of [Occupation and address], do hereby solemnly and sincerely declare as follows:—

(1.) That I am the applicant [or one of the applicants] named in the above-described application.

(2.) That I have made diligent search for such of the instruments of title referred to in the said application as are described in the Schedule hereto, but cannot find the same, and believe the same to be irrecoverably lost.

(3.) That the said instruments have not been lodged or deposited with any person for purpose of security for money or otherwise.

And I make this solemn declaration, conscientiously believing the same, under and by virtue of “The Justices of the Peace Act, 1882.”

THE SCHEDULE ABOVE REFERRED TO.

[Set out date and nature of each instrument of title.]

Declared at __, this __ day of __, 1 __, before me— __, a Justice of the Peace for the Colony of New Zealand [or as the case may be].

Form 22 (Reg. 23).

Under “The Mining Act, 1898.”

DECLARATION WHERE APPLICANT DOES NOT DESIRE TO APPEAR.

In the matter of an application numbered __ in the Application Record-book at __, for [State subject-matter of application].

I, __, of __, do hereby solemnly and sincerely declare as follows:—

1. That I am the applicant [or one of the applicants] named in the above-described application.

2. That all the statements contained in the said application are true.

3. That all prescribed provisions as to marking out the ground referred to in the said application, serving notices on all persons affected, and otherwise, have been duly observed, in so far as is required by law.

4. That the ground applied for, and referred to in the said application, does not cross any road or street.

5. That the applicant named in the said application believes himself [or believe themselves] to be entitled to the grant of the said application, and knows [or know] of no valid objection thereto.

6. That, so far as I am [or the said applicants are] aware, no public or private rights will be prejudicially affected by the grant of the said application.

7. [Here set out such other facts as may be necessary.]

And I make this solemn declaration conscientiously believing the same to be true, under and by virtue of the provisions of an Act of the General Assembly of New Zealand intituled “The Justices of the Peace Act, 1882.”

Declared at __, this __ day of __, 1 __, before me— __, a Justice of the Peace for the Colony of New Zealand [or as the case may be].

Form 23 (Reg. 45).

Under “The Mining Act, 1898.”

CERTIFICATE OF RESERVATION OF TIMBER AREA.

THIS is to certify that, pursuant to application in this behalf, and the provisions of “The Mining Act, 1898,” I have this day reserved the area of land described in the Schedule hereto as a timber area for __, as the holder of sawmill license registered at __ as No. __, subject to the provisions of the aforesaid Act and the regulations thereunder.

This certificate continues in force for one year from the date hereof, but may be renewed from year to year whilst the aforesaid license continues in force, but no longer. There is payable in advance in respect of this certificate, and of each annual renewal thereof, an acreage rental of £__, being at the rate of 1s. per acre.

As witness my hand, and the seal of the Warden’s Court at __, this __ day of __, 1 __.

SCHEDULE.

[Describe land.]

__, Warden.

Form 24 (Reg. 57).

Under “The Mining Act, 1898.”

REGISTER OF MINING PRIVILEGES.

At __, in the Mining District.

NATURE, locality, and description of mining privilege:

[E.g., Water-race: Source of supply, the Fraser River, about two miles north of the Old Man Rock; course, north-west and south-east; length, about twelve miles; average depth, 10 ft.; average breadth, 20 ft.]

Water authorised to be diverted: [Fifteen heads].

Precise time of filing application for the race: [1 p.m., 14th December, 1899].

Form 25 (Reg. 68).

Under “The Mining Act, 1898.”

APPLICATION TO REGISTER A MINING PRIVILEGE HELD OTHERWISE THAN UNDER LICENSE.

To the Mining Registrar of the Mining District, at __.

PURSUANT to the provisions of “The Mining Act, 1898,” I, A.B. [Name in full], of [Residence and occupation], being the lawful holder of an unregistered mining privilege described in the Schedule hereto, do hereby make application to register the same, and I hereby declare as follows:—

(a.) That I have duly observed all the provisions of the said Act relating to the said privilege, and that the title to the same is occupation under miner’s right;

(b.) That I verily believe I am entitled to a grant of this application.

The address for service is, __.

Dated this __ day of __, 1 __.

Signature of applicant: A.B.

[Or, as the case may be, A.B.

(by his Solicitor or Registered Agent, C.D.).]