Mar. 21.] THE NEW ZEALAND GAZETTE. 877

Form No. 2.—Reg. 2.

NEW ZEALAND.

“Friendly Societies Act, 1909.”

NOTICE OF ESTABLISHMENT OF A BRANCH AND APPLICATION FOR REGISTRY.

Name of society :
Register No. :

To the Registrar of Friendly Societies.

A BRANCH of the above society has been established at ,
and is to be called .

1. Application to register that branch is made by the five persons whose names are subscribed at the foot hereof.

2. The matters required to be set forth in branch rules are provided for in the manner shown hereunder.

The name of the branch is provided for in Rule No. [State number].

3. The whole of the objects for which the branch is to be established, the purposes for which the funds thereof shall be applicable, the terms of admission of members, the conditions under which any member may become entitled to any benefit assured, the fines and forfeitures to be imposed on any member, and the consequence of non-payment of any subscription or fine are provided for in Rules Nos. [State numbers].

4. The mode of holding meetings, right of voting, of giving notice (when required) of the business to be transacted at any meeting, and the manner of making, altering, or rescinding rules, are provided for in Rules Nos. [State numbers].

5. The appointment and removal of a committee of management, by the name of , of a treasurer, secretary, and other officers, and of trustees, and their number, are provided for in Rules Nos. [State numbers].

6. The sending to the Registrar through the society notice of every appointment of a new trustee within fourteen days, and also notice of any change of the registered office of the society, is provided for in Rule No. [State number].

7. The contributions to a fund under the control of the central body, the control of the central body over the branch, and the conditions under which the branch may secede from the society are provided for in Rule No. [State number].

8. The investment of the funds, the keeping of the accounts, and the audit of the same once a year at least are provided for in Rule No. [State number].

9. Annual returns to the Registrar through the society of the income and expenditure, funds and effects, and number of members of the branch, are provided for in Rules Nos. [State numbers].

10. The inspection of the books of the branch by every person having an interest in the funds of the branch (except as in the said Act is mentioned) is provided for in Rule No. [State number].

11. The manner in which disputes shall be settled is provided for in Rule No. [State number].

12. • If the society allows the division of branch funds, provision for meeting all claims upon the branch existing at the time of division before any such division takes place is made in Rule No. [State number].

13. † The keeping separate accounts of all moneys received or paid on account of every particular fund or benefit assured for which a separate table of contributions payable shall have been adopted, and the establishment of a separate fund for payment of the expenses of management, and the keeping of a separate account of such expenses [† and of medical and surgical attendance, including medicine and medical and surgical requisites], and of all contributions on account thereof, are provided for in Rule No. [State number].

14. The furnishing for the inspection of, or supplying gratuitously, any member or person interested, on demand, a copy of the last annual return or other authorised document, and the keeping a copy of the last annual balance-sheet, with a copy of the auditor’s report (if any), and of the last actuarial valuation always hung up at the registered office, are provided for in Rule No. [State number].

15. Annual returns to the Registrar through the society of the sickness and mortality of the branch are provided for in Rule No. [State number].

16. A valuation once at least in every five years of the assets and liabilities of the branch, including the estimated risks and contributions, is provided for in Rule No. [State number].

17. § Provision for the voluntary dissolution of the branch by consent of the central body of the society, and of not less than five-sixths in value of the members of the branch, and of every person for the time being entitled to any benefit from the funds of the branch unless his claim be first satisfied or adequately provided for, is made in Rule No. [State number].

18. The right of one-fifth of the total number of members [|| or of 100 members if the branch have 500 and not exceeding 10,000, or of 500 members if the branch have more than 10,000] (but with the consent of the central body of the society) to apply to the Registrar for an investigation of the affairs of the branch, or for winding up the same, is provided for in Rule No. [State number].

18A. ¶ It being intended to assure to the members or some of them a certain annuity, the tables of contributions for such assurance are certified by , Esquire, an actuary qualified to give such certificate.

19. If the branch pays money on death, the right of a member to nominate and the production of certificates of death are provided for in Rule No. [State number].

With this application are sent—

(a.) Two printed [or written] copies of the rules [** together with the tables of contributions for annuities, certified as aforesaid], signed by each of the applicants:

(b.) A list of the names in full of the trustees of the branch:

(c.) A statement giving the address and place of the registered office of the branch in terms of section 12 of the above-mentioned Act.

Registered office of society :

Date of establishment of branch :

Registered office of branch :

[If the branch intends to avail itself of section 49 (2) as to investment of funds with other branches, section 50 (1) as to the holding of land, or section 55 as to loans to members, rules for that purpose must be made, and it shall be stated in what rules this has been done.]

• If the society does not divide its funds, a line should be drawn through this statement.

† If the society is not a friendly society, a line should be drawn through this and the remaining numbered statements, or, if it be a specially authorised society, through any which are not rendered applicable by the authority for registering the same.

‡ If the society does not grant a medical-attendance benefit, the words in brackets should be omitted.

§ If the society is not a friendly society, the words “three-fourths” to be substituted for the words “five-sixths in value.”

|| If the number of members is limited to be less than 500 or less than 10,000 members, the bracketed words relating to both or either of such cases should be struck out.

¶ If this is not intended, a line should be drawn through this statement.

** If the society does not grant annuities, these words should be struck out.

Form No. 3.

NEW ZEALAND.

“Friendly Societies Act, 1909.”

NOTICE OF ESTABLISHMENT OF BRANCH.*

Name of society :

Register No. :

To the Registrar of Friendly Societies.

A BRANCH of the above-named society has been established at , and is to be called .

Application to register that branch is made by the five persons whose names are subscribed hereto.

The trustees of the branch are as follows :—

The branch has no other rules than those of the society. [The rules of the branch are identical with those of the other branches of the society].

……………, Member.
……………, ,,
……………, ,,
……………, Secretary of branch.
……………, Secretary of society.

Registered office of the society :

Date of establishment of branch :

Address of registered office of branch :

Date : day of , 19 .

• This form may be adapted, by authority of the Registrar, so as to include any number of branches.

Form No 4.—Reg. 3.

NEW ZEALAND.

“Friendly Societies Act, 1909.”

CERTIFICATE OF OFFICER OF SOCIETY AS TO SECESSION OR EXPULSION OF BRANCH.

Name of society :

Register No. :

Name of branch :

Registered office of branch :