254
THE NEW ZEALAND GAZETTE.
[No. 4
56

Objections must be filed in the Registrar’s office, and
notified to the applicant, at least twenty-four hours before
the time so appointed.

, Mining Registrar.

Form 106 (Reg. 164).

LICENSE TO ACT AS REGISTERED MINING AGENT.

PURSUANT to “The Mining Act, 1905,” I, the undersigned,
, a Warden of the Mining District, do hereby
register as a mining agent under the said Act in
respect of the Mining District [or the following
localities—(naming them)—within the said district].
This license is subject to payment of an annual license
fee of £1 1s

In witness whereof I have hereunto subscribed my name,
and affixed the seal of the Warden’s Court of the
Mining District, this day of , 19 , at
, Warden.

Form 107 (Reg. 166).

FORM OF APPLICATION TO CANCEL REGISTRATION AS A MINING
AGENT.

To the Warden of the Mining District at
, and to , a Registered Mining Agent..

TAKE notice that I, the undersigned, intend to make applica-
tion for the cancellation of the registration of the above-
named as a mining agent under the above Act, on
the grounds following: [Here set out the grounds of appli-
cation with reasonable particularity, in separate paragraphs
consecutively numbered].

Date and number of miner’s right:
Address for service:
Dated at , this day of , 19 .
, Objector.

Form 108 (Reg. 172).

APPLICATION FOR A GOLD-DEALER’S LICENSE.

To the Warden of the Mining District at
.

I, , of , do hereby make application for a
license under “The Mining Act Amendment Act, 1905,” to
deal in gold. My present address for carrying on business
is at , in the said mining district. I have [not]
previously held a license for such purpose.

Dated at , this day of , 19 .
[Signature of Applicant: .]

Address for business:

Received the within application at the hour of .m. on
the day of , 190 , with a fee of 5s.
, Mining Registrar [or Clerk of the Court].

Form 109 (Reg. 176).

GOLD-DEALER’S LICENSE.

I, , Minister of Mines, being satisfied that
is a fit and proper person to be a licensed gold-dealer, do
hereby license the said to be a gold-dealer under the
provisions of “The Mining Act Amendment Act, 1905,” and
the regulations, to carry on the business of a gold-dealer
at , in the premises occupied by him and situate
at , within the Mining District, and at no
other place, until the 31st day of December, 190 , and no
longer.

Given under my hand, at Wellington, this day
of , 190 .
, Minister of Mines.

Entered in the Register of Licensed Gold-dealers.
, Registrar.

Form 110 (Reg. 177).

GOLD-DEALER’S LICENSE FOR INCORPORATED BANK.

I, , Minister of Mines, by virtue of the powers con-
ferred upon me by section 47 of “The Mining Act Amend-
ment Act, 1905,” and the regulations, do hereby grant
to , an incorporated bank carrying on business at its
head office at , a license to deal in gold at the
branches described on the back hereof, under the provisions
of the said Act and regulations, until the 31st day of
December, 190 , and no longer.

Given under my hand, at Wellington, this day of
, 190 .
, Minister of Mines.

Entered in the Register of Licensed Gold-dealers.
, Registrar.

List of Places where such Branches of the Bank are esta-
blised, and Names of Present Managers thereof.

Form 111 (Reg. 181).

GOLD-DEALER’S BOOK.

*Under this heading particulars must be stated as to whether the
transaction was a sale, purchase, advance, or deposit for safe keep-
ing.

†Under this heading must be accurately set out the particulars of
the gold dealt with, in accordance with the definition thereof con-
tained in section 40 of “The Mining Act Amendment Act, 1905.”

Form 112 (Reg. 182).

RETURN OF GOLD BOUGHT OR SOLD BY AN INCORPORATED
BANK OR LICENSED GOLD-DEALER FOR THE MONTH
OF , 190 .

(To be posted to the Under-Secretary for Mines not later
than the 5th day of each month.)

*Under this heading particulars must be stated as to whether the
transaction was a sale, purchase, advance, or deposit for safe keep-
ing.

†Under this heading must be accurately set out the particulars of
the gold dealt with, in accordance with the definition thereof con-
tained in section 40 of “The Mining Act Amendment Act, 1905.”