2726
THE NEW ZEALAND GAZETTE.
No. 89

dule hereto, the prescribed minimum number of workmen to
be employed therein is hereby reduced to
for the
period of
, commencing on the date hereof.
In witness whereof I have hereunto signed my name, and
affixed the seal of the Warden’s Court at
, this
day of
, 19
.

SCHEDULE.

Title under which claim is held, with date and registered
number :
Name of claim :
Its locality and area :
Date when originally taken up :
, Warden.

Form 46 (Reg. 65).

Under “ The Mining Act, 1908.”

CERTIFICATE OF PROTECTION.

THIS is to certify that, pursuant to “ The Mining Act, 1908,”
I have this day granted protection to [Here set out in full
names of holder of mining privilege(s) protected] in respect of
the mining privilege[s] specified in the Schedule hereto, for
a period of
, commencing on the
day of
, 19
.
In witness whereof I have hereunto subscribed my name,
and affixed the seal of the Warden’s Court at
, this
day of
, 19
.

SCHEDULE.

| Name of Privilege
in respect of
which Protection is
granted. | Locality. | Title and
Registered Number. |
|---|---|---|
| | | |
, Warden.

Form 47 (Reg. 67).

Under “ The Mining Act, 1908.”

CERTIFICATE OF EASEMENT.

PURSUANT to “ The Mining Act, 1908,” I, the undersigned,
, a Warden of the
Mining District, do hereby
grant to [Full name, residence, and occupation], as holder of
the mining privilege specified in the First Schedule hereto,
this certificate of easement, authorising him as such holder,
and for the purpose of facilitating his mining operations in
connection with such mining privilege, to enter upon, occupy,
and use the land specified in the Second Schedule hereto
(being portion of the land comprised in the mining privilege
specified in that Schedule, for all or any of the purposes
specified in the Third Schedule hereto.
This certificate is granted subject to the terms, conditions,
reservations, and provisions set out in the aforesaid Act and
the regulations thereunder, and also to such additional terms,
conditions, reservations, and provisions as are specified herein
or in the Fourth Schedule hereto.
The rights exercisable under this certificate shall be deemed
to be appurtenant to the mining privilege specified in the
First Schedule hereto, and accordingly this certificate shall
not be transferable apart from such privilege, and upon the
expiry, forfeiture, or abandonment of such privilege this
certificate shall be void.
In witness whereof I have hereunto subscribed my name,
and affixed the seal of the Warden’s Court at
, this
day of
, 19
.

FIRST SCHEDULE.

[Specify name, registered number (if any), and locality of
the applicant’s mining privilege.]

SECOND SCHEDULE.

[Specify, with sufficient particulars for identification, the
situation, measurement, and area of the portion of land to which
the certificate applies, and the name, registered number (if any),
and locality of the mining privilege in which it is comprised,
as also the full name of the holder of such privilege.]

THIRD SCHEDULE.

[Specify the purposes.]

FOURTH SCHEDULE.

[Set out additional terms, &c., if any.]
, Warden.

Form 48 (Reg. 68).

Under “ The Mining Act, 1908.”

REGISTER OF MINING PRIVILEGES.

At
, in the
Mining District.

NATURE, locality, and description of mining privilege :
[E.g., Water-race : Source of supply, the Fraser River,
about two miles north of the Old Man Rock ; course, north-
west and south-east ; length, about twelve miles ; water autho-
rised to be diverted, fifteen heads. Precise time of filing appli-
cation for the race : 1 p.m., 12th July, 1900.]

| Regd. No. of
Instrument. | Instrument. | Date of
Instrument. | Precise Time
of presenting
Instrument for
Registration, | Names of Parties. |
|---|---|---|---|---|
| | | | | Grantor
or Trans-
feror. | Grantee
for Trans-
feree. |

Rent Account, &c.

| Annual Rental. | Amount. | Rate per Acre. | Annual
License Fee. |
|---|---|---|---|
| £
s.
d. | £
s.
d. | £
s.
d. | £
s.
d. |
| First year
.. | .. | 0
2
6 | |
| Second year
.. | .. | 0
5
0 | |
| Third year and the
remainder of term | .. | 0
7
6 | |

Rent due.

| From | To | Amount. | Date of
Payment. | No. of
Receipt. | Rent
received. |
|---|---|---|---|---|---|
| | | £
s.
d. | | | £
s.
d. |

Form 49 (Reg. 77).

Under “ The Mining Act, 1908.”

APPLICATION TO REGISTER A MINING PRIVILEGE HELD OTHER-
WISE THAN UNDER LICENSE.

To the Mining Registrar of the
Mining District,
at
.

PURSUANT to “ The Mining Act, 1908,” I, A. B. [Full name,
residence, and occupation], being the lawful holder of the un-
registered mining privilege described in the Schedule hereto,
do hereby make application to register the same, and I hereby
declare as follows :—
(a.) That I have duly observed all the provisions of
the said Act relating to the said privilege, and
that the title to the same is occupation under
miner’s right ;
(b.) That I verily believe I am entitled to the grant of
this application.

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

SCHEDULE.

[Set out name, locality, and area of the mining privilege with
sufficient particularity for identification.]
[Signature of applicant, &c.]

Form 50 (Reg. 77).

Under “ The Mining Act, 1908.”

CERTIFICATE OF REGISTRATION OF MINING PRIVILEGE HELD
OTHERWISE THAN UNDER LICENSE.

PURSUANT to application in that behalf made by A. B. [Full
name, residence, and occupation], the lawful holder of the
mining privilege described in the Schedule hereto, I,
Mining Registrar of the
Mining District at
,
do hereby certify that I have this day registered such mining
privilege as No.
.
In witness whereof I have hereunto signed my name this
day of
, 19
.

SCHEDULE.

[Set out name, locality, and area of the mining privilege as
in the application.]
, Mining Registrar.