Oct. 28.

In witness whereof the Minister of Mines, for and on behalf
of His Excellency the Governor, hath hereunto signed his
name, this day of , 19 .

SCHEDULE.

[Describe and identify the land with reasonable particularity
by reference to its area, situation, and ownership.]

, Minister of Mines.

Form 12 (Reg. 7).
Under “The Mining Act, 1908.”
ORDINARY PROSPECTING LICENSE IN RESPECT OF OTHER THAN NATIVE LAND.
PURSUANT to “The Mining Act, 1908,” I, the undersigned,
, a Warden of the Mining District, do hereby
grant to [Full name, residence, and occupation] this ordinary
prospecting license, conferring upon the licensee, whilst this
license continues in force, the exclusive right to enter and
prospect for gold and any other metal or mineral on the
land specified in the Schedule hereto [&c., as in Form 10].

Form 13 (Reg. 7).
Under “The Mining Act, 1908.”
TUNNEL PROSPECTING LICENSE IN RESPECT OF NATIVE LAND.
PURSUANT to “The Mining Act, 1908,” His Excellency the
Governor of the Dominion of New Zealand hereby grants to
[Full name, residence, and occupation] this tunnel prospecting
license, conferring upon the licensee, whilst this license con-
tinues in force, the exclusive right to enter and prospect for
gold or any other metal or mineral on the Native land speci-
fied in the Schedule hereto.
The term of this license is two years, commencing on the
date hereof, and the license is granted subject to the pro-
visions for renewal and other the terms, conditions, reserva-
tions, and provisions set out in the aforesaid Act and the
regulations thereunder.
The license fee of £ is payable annually in advance
whilst the license or its renewal continues in force.
In witness whereof the Minister of Mines [&c., as in Form 11].

Form 14 (Reg. 7).
Under “The Mining Act, 1908.”
TUNNEL PROSPECTING LICENSE IN RESPECT OF OTHER THAN NATIVE LAND.
PURSUANT to “The Mining Act, 1908,” I, the undersigned,
, a Warden of the Mining District, do hereby
grant to [Full name, residence, and occupation] this tunnel
prospecting license, conferring upon the licensee, whilst this
license continues in force, the exclusive right to enter and
prospect for gold and any other metal or mineral on the
land specified in the Schedule hereto.
The term of this license is two years, commencing on the
date hereof, and the license is granted subject [&c., as in Form 13].
In witness whereof [&c., as in Form 10].

Form 15 (Reg. 33).
Under “The Mining Act, 1908.”
APPLICATION FOR LICENSE FOR A CLAIM.
To the Warden of the Mining District, at
PURSUANT to “The Mining Act, 1908,” the undersigned
[Full name, residence, and occupation] hereby applies for a
license for a claim, as specified in the Schedule hereto, in
respect of the land therein referred to, which has been duly
marked out for the purpose.
Date and number of miner's right:
Address for service:
Dated at , this day of , 19 .

SCHEDULE.

Class and subdivision of claim:*
Style under which claim is to be worked:
Proposed mode of working:
Proposed term of license:
Locality where land is situated, with its boundaries, measurements, and area:

• E.g., ordinary alluvial claim, extended quartz claim, special dredging claim, or otherwise, as the case may be.
  [Signature of applicant, &c., as in Form 7.]
  Precise time, &c. [as in Form 7].

Form 16 (Reg. 33).
Under “The Mining Act, 1908.”
APPLICATION FOR LICENSE FOR A WATER-RACE.
To the Warden of the Mining District, at
PURSUANT to “The Mining Act, 1908,” the undersigned
[Full name, residence, and occupation] hereby applies for a
license for a water-race, as specified in the Schedule hereto,
the course whereof has been duly marked out for the purpose.
Date and number of miner's right:
Address for service:
Dated at , this day of , 19 .

SCHEDULE.

Locality of the race, and of its starting and terminal points:
Length and intended course of race:
Points of intake:
Estimated time and cost of construction:
Mean depth and breadth:
Number of heads to be diverted:
Purpose for which water is to be used:*
Proposed term of license:

• E.g., mining purposes, irrigation, or otherwise, as the case may be.
  [Signature of applicant, &c.]
  Precise time, &c.

Form 17 (Reg. 33).
Under “The Mining Act, 1908.”
APPLICATION FOR LICENSE FOR A TAIL-RACE [or MAIN TAIL-
RACE].
[As in Form 16, with all necessary modifications, including Schedule, as follows.]

Locality of the race, and of its starting and terminal points:
Length and intended course of race:
Its greatest depth and breadth:
Estimated time and cost of construction:
Proposed term of license:
[If a main tail-race.] The persons by whom and the terms upon which the race is to be used:

Form 18 (Reg. 33).
Under “The Mining Act, 1908.”
APPLICATION FOR LICENSE FOR A DAM.
[As in Form 15, with all necessary modifications, including Schedule, as follows.]

SCHEDULE.

Locality of dam:
Particulars of dam, viz.:-
Length of dam-wall:
Greatest height of same:
Breadth of same at base:
Length and width of water-area:
Estimated time and cost of construction:
Proposed term of license:
Purpose for which water is to be stored:

Form 19 (Reg. 33).
Under “The Mining Act, 1908.”
APPLICATION FOR LICENSE FOR RESIDENCE-SITE [or BUSINESS-
SITE].
[As in Form 15, with all necessary modifications, including Schedule, as follows.]

SCHEDULE.

Locality where land is situate, with its boundaries, measurements, and area:
Proposed term of license:

Form 20 (Reg. 33).
Under “The Mining Act, 1908.”
APPLICATION FOR LICENSE FOR A SPECIAL SITE.
[As in Form 15, with all necessary modifications, including Schedule, as follows.]

SCHEDULE.

Locality where special site is situate, with its boundaries, measurements, and area:
Purpose for which special site is to be used:
Claim in connection with which the special site is to be used:
Proposed term of license: