882
THE NEW ZEALAND GAZETTE.
[No. 25

That on the day of , 19 , the said
was removed from his office of trustee, or was out
of office, the registry of the branch having been cancelled,
and was appointed in his place.
That since such removal application has been made in
writing to the said to join in the transfer of the said
funds [debentures, securities, or moneys] into the names of
the said , as trustees for the said society, but he has
refused to comply [or has not complied] with such application. [This paragraph may be omitted or varied as the facts
require.]
And I make this solemn declaration conscientiously believing the same to be true, and by virtue of “The Justices
of the Peace Act, 1908.”

……………, Secretary.
Declared at , in the Dominion of
New Zealand, this day of
, one thousand nine hundred
and , before me,
a Justice of the Peace in and for the
said Dominion.

———

Form No. 19.—Reg. 13.
———

NEW ZEALAND.
———

“Friendly Societies Act, 1909.” Section 47.
DIRECTION BY THE REGISTRAR TO TRANSFER
FUNDS, DEBENTURES, SECURITIES, OR MONEY.
WHEREAS it has been made to appear to me that [Describe
nature of funds, debentures, securities, stocks, or moneys] is now
standing in the names of and as trustees of
, a society [or branch] registered under the above-mentioned Act, or in the name of trustees of a branch, the
registry of which has been cancelled:
And that the said is absent from New Zealand [or
as the case may be] :
. And that has been appointed trustee of the said
society in place of the said :
(a.) I, as Registrar under the said Act, hereby direct,
pursuant to section 13 of the said Act, that the said [State
nature and amount of funds, debentures, stocks, securities, or
moneys] standing in the names of the said be transferred by the said into the names of the said
and
(b.) And that there is no surviving or continuing trustee
of the said society [or branch] [or that the surviving and continuing trustees refuse or are unable to transfer the said funds
(debentures, securities, or moneys) in pursuance of my direction].
I, as Registrar under the said Act, hereby direct, pursuant
to section 13 of the said Act, that the said sum of
, so standing in the books of [or in the control of] the Minister
of Finance [or the Bank of , or
(Name corporation, body, person, or persons in whose books
the funds or moneys are standing, or in whose control they are)],
be transferred by the said Minister of Finance [or by (Designate
officer, person, or persons by whom transfer is directed to be
made)] into the names of the said ……………, Registrar.

Address :
Date : day of , 19 .

• The paragraphs marked (a) or (b) will be used as the case requires.

———

Form No. 20.—Reg. 14.
———

NEW ZEALAND.
———

EXEMPTION GRANTED BY REGISTRAR FROM PRODUCTION OF DEATH CERTIFICATE.
Name of society :
Register No. :
Name and place, and No. of branch :
APPLICATION having been made for an exemption under
section 56 of “The Friendly Societies Act, 1909,” from the
production of the certificate of the death of , a member of the said society [or branch], and being satisfied of the
fact of the death of the aforesaid , I hereby grant
exemption in terms of the Act.
……………, Registrar.

Friendly Societies Office :
Date ; day of , 19 ;

Form No. 21.—Reg. 17.
———

NEW ZEALAND.
———

“Friendly Societies Act, 1909.”
APPLICATION FOR APPROVAL OF CHANGE OF
NAME AND REGISTRY OF SPECIAL RESOLUTION.
(To be sent in duplicate accompanied by Form No. 23.)
Name already registered :
Register No. :

To the Registrar of Friendly Societies.
APPLICATION for approval of a change of name of the above-mentioned society, and for registry of a special resolution to
that effect, is made by the three persons whose names are
subscribed at the foot hereof.
The following is a copy of a special resolution passed by
the votes of three-fourths of the members present and entitled to vote at a general meeting of the society, of which
notice was duly given, held on the day of
, 19 , and confirmed by a majority of the members present
and entitled to vote at a subsequent general meeting,* of
which notice was duly given, held on the day of
, 19 , pursuant to section 60 of the above-mentioned Act [The resolution to be copied at length].
With this application is to be sent the fee of 10s. prescribed
by the regulations.

……………, { Chairman of the first
general meeting.
……………, Secretary.
……………, { Chairman of the subsequent general meeting.

Registered office :
Date : , day of , 19 .
† The consent of the central body of the society has been
given to this application.

(Signature of secretary of the
society.)

Date :

• The second meeting must be held not less than fourteen days nor more
  than one month after the first.
  † To be used only for a branch application.

———

Form No. 22.—Regs. 17, 18, 19.
———

NEW ZEALAND.
———

“Friendly Societies Act, 1909.”
DECLARATION TO ACCOMPANY APPLICATION FOR
REGISTRY OF A SPECIAL RESOLUTION.
Name of society :
Register No. :
I, , of , holding the office of in the
above-named society, do solemnly and sincerely declare that
in making the special resolution, application for registry of
which is appended to this declaration, the provisions of
section 60 of “The Friendly Societies Act, 1909,” have been
duly complied with.
And I make this solemn declaration conscientiously believing the same to be true, and by virtue of “The Justices
of the Peace Act, 1908.”

Declared at , in the Dominion
of New Zealand, this day of
, one thousand nine hundred
and , before me,
a Justice of the Peace in and for the
said Dominion.

(In the case of amalgamation of societies, a declaration
must be made by the secretary of each society.)

———

Form No. 23.—Reg. 18.
———

NEW ZEALAND.
———

“Friendly Societies Act, 1909.”
APPLICATION FOR REGISTRY OF SPECIAL RESOLUTION FOR AMALGAMATION OF SOCIETIES.
(To be sent in duplicate accompanied by Form No. 23.)

• Name of society : (a)
  Register No. :
  Name of society : (b)
  Register No. :
  [And so on if more than two.]

• As this application must be made by each society, the order in which
  the societies are named must be inverted or changed in each application.