236
THE NEW ZEALAND GAZETTE.
[No. 4

SCHEDULE.

[Signature of applicant, &c.]

Precise time, &c.

Form 24 (Regs. 33 and 63).

Under “The Mining Act, 1905.”

APPLICATION FOR CERTIFICATE OF REDUCTION.

To the Warden of the Mining District, at .

PURSUANT to “The Mining Act, 1905,” the undersigned [Full name, residence, and occupation], being the holder of the claim specified in the Schedule hereto, hereby applies for a certificate reducing to the extent and for the period therein specified, or to such lesser extent and for such lesser period as the Warden thinks fit, the prescribed minimum number of workmen to be employed in working the said claim.

Address for service:

Dated at , this day of , 19 .

SCHEDULE.

Name, locality, and area of claim:

Title under which claim is held, with registered number (if any):

Date when originally taken up:

Present prescribed minimum number of workmen:

Extent of reduction desired (being the maximum number that can reasonably be employed):

Period for which the reduction is desired:

[Signature of applicant, &c.]

Precise time, &c.

Form 25 (Regs. 33 and 65).

Under “The Mining Act, 1905.”

APPLICATION FOR CERTIFICATE OF PROTECTION.

To the Warden of the Mining District, at .

PURSUANT to “The Mining Act, 1905,” the undersigned [Full name, residence, and occupation], hereby applies for a protection certificate for the period of in respect of the mining privilege[s] specified in the Schedule hereto.

Address for service:

Dated at , this day of , 19 .

SCHEDULE.

[Signature of applicant, &c.]

Precise time, &c.

Form 26 (Regs. 33 and 67).

Under “The Mining Act, 1905.”

APPLICATION FOR CERTIFICATE OF EASEMENT.

To the Warden of the Mining District, at .

PURSUANT to “The Mining Act, 1905,” the undersigned [Full name, residence, and occupation], being the holder of the following mining privilege—[Specify its name, locality, and registered number]—hereby applies for a certificate of easement in respect of the land specified in the First Schedule hereto, which has been duly marked out for the purpose, and is portion of the mining privilege specified in that Schedule.

The works to be constructed and the rights to be exercisable under the certificate of easement are as specified in the Second Schedule hereto.

Address for service:

Dated at , this day of , 19 .

FIRST SCHEDULE.

[Specify the land with reasonable particularity, as also the name, locality, registered number (if any), and holder of the mining privilege in which such land is comprised.]

SECOND SCHEDULE.

[Specify with reasonable particularity the works to be constructed and the rights to be exercised under the certificate.]

[Signature of Applicant, &c.]

Precise time, &c.

Form 27 (Reg. 33).

Under “The Mining Act, 1905.”

OBJECTION TO AN APPLICATION.

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

THE undersigned [Full name, residence, and occupation], hereby gives notice that he objects to the granting of the above-described application, and the following are the grounds of his objection, namely,—

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

Address for service:

Dated at , this day of , 19 .

[Signature of objector, &c.]

Form 28 (Reg. 33).

Under “The Mining Act, 1905.”

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, A.B. [Full name, residence, and occupation], 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 application are true.

3. That all prescribed provisions as to marking out the ground referred to in the application, posting notices thereon, 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 does not cross any road or street, and is Crown land open for mining within the meaning of “The Mining Act, 1905.”

5. That I believe myself [or the applicants] to be entitled to the grant of the application, and know of no valid objection thereto.

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

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