New Zealand Gazette – 1902 – No. 8

Page 159

✨ Maori Councils Forms



JAN. 30.] THE NEW ZEALAND GAZETTE. 159

"The Maori Councils Act, 1900."
Form F.
REGISTER-BOOK OF BIRTHS.

………………District.

Register No. Form D. — Number. Child. Parents. In- formant. Regis- trar.
Date of Birth. Place of Birth. Name of Child. Sex. Father. Mother. Name of Informant. His or her Residence. Date of Information.
Name of Father; His Residence; His Hapu. Whether living or dead. He is a* Name of Mother; Her Residence; Her Hapu. Whether living or dead. She is a*
  • State whether Maori, half-, quarter-, or three-quarter-caste, or European.

——

"The Maori Councils Act, 1900."
Form G.
REGISTER-BOOK OF DEATHS.

………………District.

Register No. Form E.—Number. Deceased. Parents. Issue. Cause of Death. Informant. Registrar.
1. Name. 2. Date of Death. 3. His Hapu. 4. Place of Death. 5. His Residence. 6. Age, if known. Sex. Father. Mother. 1. If Deceased married. 2. Name of Husband or Wife. 3. Number of Children living, and Names. 1. If attended by a Medical Man. 2. Cause of Death. 1. Name of Informant. 2. Residence. 3. Date of Information.
1. Name. 2. Residence. 3. Hapu. 4. If living. 5. * 1. Name. 2. Residence. 3. Hapu. 4. If living. 5. *
  • State whether Maori, half-, quarter-, or three-quarter-caste, or European.

——

"The Maori Councils Act, 1900."
Form H.
CERTIFIED COPY OF ENTRY IN REGISTER OF BIRTHS.

………………District.

Register No. Form D. — Number. Child. Parents. In- formant. Regis- trar.
Date of Birth. Place of Birth. Name of Child. Sex. Father. Mother. Name of Informant. His or her Residence. Date of Information.
Name of Father; His Residence; His Hapu. Whether living or dead. He is a* Name of Mother; Her Residence; Her Hapu. Whether living or dead. She is a*
  • State whether Maori, half-, quarter-, or three-quarter-caste, or European.

I, , the Registrar of the Maori Council for Maori District, do hereby certify that the above is a true copy of the entry in the register-book of births in the office of the said Council concerning the birth of

Dated the day of , 19 .

[Seal.] , Registrar.

——

"The Maori Councils Act, 1900."
Form J.
CERTIFIED COPY OF ENTRY IN REGISTER OF DEATHS.

………………District.

Register No. Form E.—Number. Deceased. Parents. Issue. Cause of Death. Informant. Registrar.
1. Name. 2. Date of Death. 3. His Hapu. 4. Place of Death. 5. His Residence. 6. Age, if known. Sex. Father. Mother. 1. If Deceased married. 2. Name of Husband or Wife. 3. Number of Children living, and Names. 1. If attended by a Medical Man. 2. Cause of Death. 1. Name of Informant. 2. Residence. 3. Date of Information.
1. Name. 2. Residence. 3. Hapu. 4. If living. 5. * 1. Name. 2. Residence. 3. Hapu. 4. If living. 5. *
  • State whether Maori, half-, quarter-, or three-quarter-caste, or European.

I, , the Registrar of the Maori Council for Maori District, do hereby certify that the above is a true copy of the entry in the register-book of deaths in the office of the said Council concerning the death of

Dated the day of , 19 .

[Seal.] , Registrar.

——

"The Maori Councils Act, 1900."
Form K.
[MEDICAL CERTIFICATE OF DEATH.]

To the Registrar of Births and Deaths, Maori District.

I HEREBY certify that I attended during his last illness; that I last saw h on , the day of , 19 ; that he died [as I am informed*] on , at ; and that to the best of my belief the cause of h death was .

Prof. title :
Address :
Date :

  • The words in brackets to be ruled out unless the medical attendant has not seen the body.

As witness the hand of His Excellency the Governor, this twenty-sixth day of October, one thousand nine hundred and one.

J. CARROLL,
Minister of Native Affairs.



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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 1902, No 8




✨ LLM interpretation of page content

🪶 Form F: Register-Book of Births under the Maori Councils Act, 1900

🪶 Māori Affairs
Birth Registration, Form F, Maori Councils Act, Hapu, Caste Declaration

🪶 Form G: Register-Book of Deaths under the Maori Councils Act, 1900

🪶 Māori Affairs
Death Registration, Form G, Maori Councils Act, Hapu, Cause of Death, Caste Declaration

🪶 Form H: Certified Copy of Entry in Register of Births

🪶 Māori Affairs
Certified Copy, Birth Registration, Form H, Maori Council, Registrar

🪶 Form J: Certified Copy of Entry in Register of Deaths

🪶 Māori Affairs
Certified Copy, Death Registration, Form J, Maori Council, Registrar

🪶 Form K: Medical Certificate of Death under the Maori Councils Act, 1900

🪶 Māori Affairs
26 October 1901
Medical Certificate, Death Registration, Form K, Medical Attendant, Cause of Death
  • J. Carroll, Minister of Native Affairs