New Zealand Gazette – 1909 – No. 37

Page 1232

✨ Machinery inspection forms and fees



1232

THE NEW ZEALAND GAZETTE.

No. 37

II(B.)

Particulars of Service.

By whom employed. And where. Horse-power of Engines. Capacity. Date of Commencement. Date of Termination. Time employed in this Service. Remarks.
Years. Months. Days.

(C.)

Declaration to be made by Applicant.

[CAUTION.—Every person who makes a false representation for the purpose of obtaining a certificate either of competency or service is liable to imprisonment with hard labour for a period not exceeding two years.]

I,, of , do hereby declare—

  1. That my certificate was a engine-driver's certificate of competency [or service, as the case may be], and that it was numbered .

  2. That the said certificate was lost or destroyed at [State where and how lost or destroyed].

  3. That the statements made herein and in divisions (A) and (B) immediately preceding are correct and true to the best of my knowledge and belief.

[Signature.]

(D.)

Fee of £ received, this day of , 19 .

, Chief Inspector of Machinery.

Machinery 14A.]

APPLICATION FOR CERTIFICATE OF COMPETENCY [or SERVICE].

By [Name of applicant in full], of [Address in full].

I HEREBY apply for the above-mentioned certificate, and declare that the particulars given in this form are correct and true to the best of my knowledge and belief.

[Ordinary signature of applicant.]

Date [To be filled in by applicant]: , 19 .

[Applicant to fill in this form and forward it, with his testimonials (with copies of same) and fee (by postal note or cash), to the Chief Inspector of Machinery, Wellington.]

  1. Place of birth, giving town and country:

  2. Date of birth, giving day, month, and year:

  3. If possessed of any certificate, give number, date of issue, and description:

  4. If failed previously at examination, give place and date:

  5. Place [or Places] where applicant has been employed; time of service from beginning to end; and whether driving, firing, steering, or otherwise, to be set out below:

Name of Employer. Address. Engaged. On what Work engaged.
From To
  • The above note as to sizes of engine and boilers does not apply to winding, locomotive, and traction engines.

Fees, Competency Certificates.

Extra first-class stationary engineer .. ... .. .. 1 0 0
First-class stationary-engine driver .. .. .. .. 1 0 0
Second-class stationary-engine driver .. .. .. .. 1 0 0
Winding-engine driver .. .. .. .. .. .. 1 0 0
Locomotive- and traction-engine driver .. .. .. .. 1 0 0
For renewal of lost or destroyed certificates .. .. .. .. 0 5 0

Fees, Service Certificates.

First- or second-class stationary-engine driver under section 45 of "The Inspection of Machinery Act, 1908" .. .. .. .. 0 5 0

NOTE.—Certificates are not required for those in charge of engines with cylinders of up to 144 circular inches area, and boilers of 15-horse power and under.



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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 1909, No 37




✨ LLM interpretation of page content

👷 Application for Engine-Driver Certificate of Competency or Service

👷 Labour & Employment
Engine driver, Certificate, Competency, Service, Application form, Machinery inspection, Fees
  • Chief Inspector of Machinery

👷 Fees for Engine-Driver Certificates

👷 Labour & Employment
Fees, Engine driver, Certificates, Competency, Service, Stationary engine, Winding engine, Locomotive engine, Traction engine