JUNE 18.] THE NEW ZEALAND GAZETTE. 1163

SCHEDULES.

FIRST SCHEDULE.

Form 1 (Reg. 2).

Under “The Mining Act, 1898.”

MINER’S RIGHT.

[Block to be retained by the officer.] [To be issued to the holder.]

MINER’S RIGHT, N.Z. MINER’S RIGHT, N.Z.
Not extending to Native ceded land. Not extending to Native ceded land.

No. No.
District and place of issue: District:

To whom issued: , To whom issued: [Full name], of [Residence].
Date of issue: Date of issue: day of , 19.

Date of expiry: Date of expiry:
Fee paid: 10s. Fee paid: 10s.
Initials and designation of officer by whom issued: Dated and issued at , this day of , 19.

                                                        Warden [or other designation of officer].

——

Form 2 (Reg. 2).

Under “The Mining Act, 1898.”

CONSOLIDATED MINERS’ RIGHT.

[Block.] [Block.]

CONSOLIDATED MINERS’ RIGHT. CONSOLIDATED MINERS’ RIGHT, NEW ZEALAND.
Not extending to Native ceded land. Not extending to Native ceded land.

No. No.
District and place of issue: District:

To whom issued: , To whom issued: , of [State, &c., as in block].

of [State whether as beneficial or nominated holder, and in the latter case state full name or style of beneficial holder, and in the case of a mining partnership the full name of every member thereof at the date of issue].

Date of issue: Date of issue:
Date of expiry: Date of expiry:
Number of rights comprised: Number of miners’ rights comprised herein:
Fee paid: Fee paid:
Initials and designation of officer by whom issued: Dated and issued at , this day of , 19.

                                                        Warden [or other designation of officer].

——

Form 3 (Reg. 2).

Under “The Mining Act, 1898.”

MINER’S RIGHT.

[Block to be retained by the officer.] [To be issued to the holder.]

MINER’S RIGHT, N.Z. MINERS’ RIGHT, NEW ZEALAND.
Extending to Native ceded land. Extending to block of Native ceded land.

No. No.
District and place of issue: District:

To whom issued: , To whom issued: [Full name], of [Residence].

Date of issue: Date of issue: day of , 19.

Date of expiry: Date of expiry:
Fee paid: 10s. Fee paid: 10s.
Initials and designation of officer by whom issued: Dated and issued at , this day of , 19.

                                                        Warden [or other designation of officer].

——

Form 4 (Reg. 2).

Under “The Mining Act, 1898.”

CONSOLIDATED MINERS’ RIGHT.

[Block.] [Block.]

CONSOLIDATED MINERS’ RIGHT. CONSOLIDATED MINERS’ RIGHT, NEW ZEALAND.
Extended to Native ceded land. Extended to block of Native ceded land.

No. No.
District and place of issue: District:

To whom issued: To whom issued:

of [State whether as beneficial or nominated holder, and in the latter case state full name or style of beneficial holder, and in the case of a mining partnership the full name of every member thereof at the date of issue].

of [State, &c., as in block].

Date of issue: Date of issue:
Date of expiry: Date of expiry:
Block of Native ceded land to which the right extends: Block of Native ceded land to which this right extends:
Number of rights comprised: Number of miners’ rights comprised herein:
Fee paid: Fee paid:
Initials and designation of officer by whom issued: Dated and issued at , this day of , 19:

                                                        Warden [or other designation of officer].

——

Form 5 (Reg. 7).

Under “The Mining Act, 1898.”

APPLICATION FOR PROSPECTING WARRANT IN RESPECT OF NATIVE LAND.

To the Minister of Mines.

Pursuant to “The Mining Act, 1898,” the undersigned [Full name, residence, and occupation], hereby applies to His Excellency the Governor for a prospecting warrant in respect of the following Native land:—

[Here specify and identify each block with reasonable particularity by reference to its area, situation, and ownership.]

The sum of £3 is forwarded herewith to abide the disposal of this application.

Date and number of miner’s right:
Address for service:
Dated at , this day of , 19
Signature of applicant:
A.B.
[Or, as the case may be,
A.B.
(by his Solicitor or Registered Agent,
C.D.).]