Jan. 17.] THE NEW ZEALAND GAZETTE. 251

53

EIGHTH SCHEDULE.

FORMS FOR USE IN CONNECTION WITH MINE-MANAGERS’,
BATTERY SUPERINTENDENTS’, AND DREDGEMASTERS’ CER-
TIFICATES.

(The forms being numbered on from the last form in the Sixth
Schedule.)

Form 93 (Reg. 135).

Under “The Mining Act, 1905.”

APPLICATION TO BE EXAMINED FOR CERTIFICATE.

To the Secretary of the Board of Examiners under the
Mining Act, Wellington.

I, [Full name, residence, and occupation], the undersigned,
hereby apply to be examined for a certificate as mine-
manager of the first [or second] class [or battery superin-
tendent]. I enclose the prescribed fee of £1, and hereby
declare as follows:—

(1.) My practical experience consists of actual employ-
ment as specified in the Schedule hereto; and
in proof thereof I forward with this application
evidence in writing from my previous employers,
as specified in that Schedule.

(2.) [If the applicant is a candidate for examination
for a mine-manager’s certificate of the first class,
he shall state whether he is the holder of a second-
class certificate—e.g.] I am the holder of a second-
class certificate, No.

Dated at , this day of , 19 .

SCHEDULE.

Particulars of Employment, and Nature of Evidence in Proof
thereof.

[Signature of applicant.]

Form 94 (Reg. 135).

Under “The Mining Act, 1905.”

MINE-MANAGER’S CERTIFICATE OF FIRST [or SECOND] CLASS
BY EXAMINATION.

This is to certify that [Full name, residence, and occu-
pation], has by examination duly satisfied the Board
of Examiners that he is entitled to a mine-manager’s
certificate of the first [or second] class, and this first-
[or second-] class certificate is hereby issued to him
accordingly.

Issued at Wellington, this day of ,
19 , by the Board of Examiners.

A. B.,
Chairman.

C. D.,
Secretary.

Form 95 (Reg. 135).

Under “The Mining Act, 1905.”

MINE-MANAGER’S CERTIFICATE OF FIRST [or SECOND] CLASS
WITHOUT EXAMINATION.

This is to certify that [Full name, residence, and occupation],
having duly satisfied the Board of Examiners that he is the
holder of a corresponding certificate of equal status.
granted after examination by [Name of authority] (being
a duly constituted and recognised authority outside
New Zealand), this first- [or second-] class certificate as
mine-manager is hereby granted to him accordingly
without examination.

Issued at Wellington, this day of ,
19 , by the Board of Examiners.

A. B.
Chairman.

C. D.,
Secretary.

Form 96 (Reg. 135).

Under “The Mining Act, 1905.”

BATTERY SUPERINTENDENT’S CERTIFICATE BY [or WITHOUT
EXAMINATION.

[As in Form 94 or 95, or with all necessary modifications.]

Form 97 (Reg. 139).

Under “The Mining Act, 1905.”

APPLICATION TO BE EXAMINED FOR CERTIFICATE AS DREDGE-
MASTER.

To the Board of Examiners, Wellington.

I, THE undersigned [Full name, residence, and occupation].
hereby apply to be examined for a certificate as dredgemasters
I enclose the prescribed fee of £1, and hereby declare at
follows: My practical experience consists of actual employ-
ment on dredges working in deep or swift-flowing streams,
as specified in the Schedule hereto; and in proof thereof
I herewith supply evidence in writing from my previous
employers, as specified in that Schedule.

Dated at , this day of , 19

SCHEDULE.

Particulars and Proof of Employment.

Signature of applicant:

No. .

Form 98 (Reg. 143).

Under “The Mining Act, 1905.”

DREDGEMASTER’S CERTIFICATE AFTER EXAMINATION.

This is to certify that , of , has duly satis-
fied the Board of Examiners that he is entitled to a certi-
ficate entitling him to take charge of a dredge working on a
deep or swift-flowing stream, and this certificate is issued
to him accordingly.

Issued at Wellington, this day of , 19 ,
by the Board of Examiners.

, Chairman.
, Secretary.