Feb. 19.] THE NEW ZEALAND GAZETTE. 507

PARTICULARS of Freehold or Leasehold Land, Houses now owned by the Persons named, or their Interest in the Land at present Date; Particulars of Freehold or Leasehold Land, Houses, &c., which may have been owned by Persons named, but which do not now stand against their Names in your Books; give Value of the Property, and Date when owned by Persons named.

[Form D.
"The Old-age Pensions Act, 1898," and Amendment Acts, 1900, 1901, and 1902.

From the Deputy Registrar of Old-age Pensions,
, to the Chief Postmaster,
.

As the persons named in the Schedule within have applied for pensions [or are drawing pensions] under the abovenamed Acts, I have to request that you will furnish, in the spaces set apart for the purpose, particulars of any savings-bank accounts you may have recorded in the names of the applicants.

, Deputy Registrar.
, 19  .

From the Chief Postmaster,
, to the Deputy Registrar of Old-age Pensions,
.

THE particulars asked for have been supplied as requested.

, Chief Postmaster.
, 19  .

NOTE.—This form must be used in all cases before claim can be considered. An index is kept at each Chief Post-office.

"The Old-age Pensions Act, 1898," and Amendment Acts, 1900, 1901, and 1902.

To be filled in by the Deputy Registrar.

To be filled in by the Chief Postmaster.

Confidential.] [Form E.
"The Old-age Pensions Act, 1898," and Amendments.

From the Deputy Registrar of Old-age Pensions,
, to the Police
.

As the person mentioned in the Schedule within has made application for a pension [or is drawing a pension] under the above-quoted Acts, I have the honour to request that you will be kind enough to answer the questions printed on the back of this form.

It will be as well in all cases that such information should be procured by officers in plain clothes, so as to avoid any unpleasantness that might otherwise occur.

, Deputy Registrar.
19  .

From the Police
, to the Deputy Registrar of Old-age Pensions,
.

THE questions have been duly answered as requested.

The Police 
at 
.

NOTE.—This form must be used in all cases before claim can be considered by Stipendiary Magistrate.

"The Old-age Pensions Act, 1898," and Amendments. (The Questions upon which Report is required will be found on Back of this Form.)

1. Has applicant resided in New Zealand for twenty-five years?
2. Has applicant been absent from New Zealand for a period of four years?
3. Give date of years absent.
4. If applicant was absent from New Zealand for four years, has applicant, after deducting the four years’ absence, resided for twenty-five years in New Zealand?
5. Has applicant during the last twelve years been imprisoned for four months, or on four occasions, for any offence punishable by imprisonment for twelve months or upwards?
6. Has applicant during the last twenty-five years been imprisoned for five years?
7. Has applicant during the last twelve years for a period of six months or upwards (if a husband) deserted his wife, or without just cause failed to provide her with adequate means of maintenance, or neglected to maintain any of his children under the age of fourteen years; or, if a wife, deserted her husband or such of her children as were under that age?
8. Is applicant now of good moral character?
9. Has applicant for the last five years been leading a sober and reputable life?
10. What did applicant earn in the past twelve months?
11. Give name and address of person from whom income was earned.
12. Has applicant any property? If so, state value and give locality.
13. Has applicant disposed of property or income in order to qualify for a pension?
14. If applicant is married, state in full name of husband or wife.
15. Has husband and wife accumulated property? If so, give value and particulars.
16. Has husband or wife an income? If so, give value and particulars.

NOTES.—If applicant has not resided in the district for a long period, inquiry should be made in the district or districts from which he came. If applicant was absent from New Zealand during any part of the year immediately preceding the 1st day of November, 1898, a pension cannot be granted.

[Form F.
"The Old-age Pensions Act, 1898," and Amendment Acts, 1900, 1901, and 1902.

From the Deputy Registrar of Old-age Pensions,
, to the District Land Registrar or Registrar of Deeds,
.

As the persons named in the Schedule within have made application for an old-age pension [or are drawing pensions], I have to request that you will furnish, in the spaces set apart for the purpose, the information required.

, Deputy Registrar.

From the District Land Registrar or Registrar of Deeds,
, to the Deputy Registrar of Old-age Pensions,
.

THE information asked for herewith.

, District Land Registrar [or Registrar of Deeds].

NOTE.—This form must be used in all cases before claim can be considered. The books of the various District Land Registrars are kept at Wellington, Auckland, Gisborne, New Plymouth, Napier, Blenheim, Nelson, Hokitika, Christchurch, Dunedin, and Invercargill.