984

THE NEW ZEALAND GAZETTE.

[No. 29

F. 2D.
Form 2D.
[Coat-of-arms.]
Under “The Factories Act, 1908”
(Section 14).

CERTIFICATE OF REGISTRATION.

This is to certify that the premises
, known as
, occupied by
, in which
Street,
[Town], in which
persons are employed
for manufacture of
, or preparing for the
manufacture of
, have this day
been registered under “The Factories
Act, 1908,” as a factory for the manu-
facture of
, or preparing for the
manufacture of
, and that the
registration fee of
for the year
ending 31st March, 191
, has been
paid.

[Date-stamp.]

[Initials of Inspector.]
Date: , 191 .
Inspector.

F. 2D.
Form 2D.
Under “The Factories Act, 1908”
(Section 14).

Occupier:

Premises known as
, [Street],
[Town], in which
persons are employed
for manufacture of
, or preparing for the
manufacture of
, have this day
been registered under “The Factories
Act, 1908,” as a factory for the manu-
facture of
, or preparing for the
manufacture of
, and that the
registration fee of
for the year
ending 31st March, 191
, has been
paid.

[Date-stamp.]

[Initials of Inspector.]
Date: , 191 .
Inspector.

F. 3A.
Form 3A.
Under “The Factories Act, 1908”
(Sections 11 and 16).

APPLICATION FOR RENEWAL OF REGISTRATION OF FACTORY.
[To be served on Inspector.]
[Address of factory], , 191 .

To the Inspector of Factories,

I [or WE] hereby make application for the renewal of the
registration of my [or our] factory under “The Factories
Act, 1908.” The following are the particulars required; and
I hereby declare the same to be correct in every particular.

The total number of persons (including occupiers) at pre-
sent employed, or to be employed, in or about the factory is
, for which the registration fee of £ : : , as
per scale below, is enclosed.

[Signature of occupier.]

Particulars.

Trade:*

Total amount of wages paid (in this trade) during the year
ending 31st March, 191 , £

The persons at present employed, or to be employed, in
this trade, and the rate of wages paid per week to each (i.e.,
for an ordinary full week), are as follow :—

at , at ,
at , at ,
at , at . | Aged under 16 years,—
at , at ,
at , at ,
at , at . |
| Aged 16 years and under 20,—
at , at ,
at , at ,
at , at . | Aged 16 years and under 20,—
at , at ,
at , at ,
at , at . |
| Aged 20 years and over,—
at , at ,
at . | Aged 20 years and over,—
at , at ,
at . |

Total male employees: . Total female employees:

F. 3B.
Form 3B.
Under “The Factories Act, 1908”
(Sections 11 and 16).

APPLICATION FOR RENEWAL OF REGISTRATION OF FACTORY
IN WHICH AN AWARD OR INDUSTRIAL AGREEMENT IS
IN FORCE.
[To be served on Inspector.]
[Address of factory], , 191 .

To the Inspector of Factories,

I [or WE] hereby make application for the renewal of the
registration of my [or our] factory under “The Factories
Act, 1908.” The following are the particulars required; and
I hereby declare the same to be correct in every particular.

The total number of persons (including occupiers) at pre-
sent employed, or to be employed, in or about the factory is
, for which the registration fee of £ : : , as per
scale below, is enclosed.

[Signature of occupier.]

Particulars.

Trade:*

Total amount of wages paid (in this trade) during the year
ending 31st March, 191 , £

The persons at present employed, or to be employed, in
this trade, and the rate of wages paid per week to each (i.e.,
for an ordinary full week) are as follow :—

at , at ,
at , at ,
at , at . | Aged under 16 years,—
at , at ,
at , at ,
at , at . |
| Aged 16 years and under 20,—
at , at ,
at , at ,
at , at . | Aged 16 years and under 20,—
at , at ,
at , at ,
at , at . |
| Aged 20 years and over,—
at , at ,
at . | Aged 20 years and over,—
at , at ,
at . |

Total male employees: . Total female employees:

Occupiers (including owners, managers, and others per-
sonally engaged in the work of the factory). Each person to
be shown in that trade in which he or she is principally
engaged :—

Number of males: . Number of females: .
(Wages not required.) (Wages not required.)

Scale of Fees under the Factories Act.

Persons at present employed in factory (including occu-
pier): Up to 3 persons, 1s.; up to 8 persons, 5s.; up to
15 persons, 10s.; up to 30 persons, £1 1s.; over 30 persons,
£2 10s.

• Where more than one trade is being carried on in the factory,
  such as tailoring and dressmaking, a separate form to be used for
  each trade. “Follow on” forms are enclosed for the purpose.

Occupiers (including owners, managers, and others per-
sonally engaged in the work of the factory). Each person to
be shown in that trade in which he or she is principally
engaged :—

Number of males: . Number of females: .
(Wages not required.) (Wages not required.)

Scale of Fees under the Factories Act.

Persons at present employed in factory (including occu-
pier): Up to 3 persons, 1s.; up to 8 persons, 5s.; up to
15 persons, 10s.; up to 30 persons, £1 1s.; over 30 persons,
£2 10s.

• Where more than one trade is being carried on in the factory
  such as tailoring and dressmaking, a separate form to be used for
  each trade. “Follow on” forms are enclosed for the purpose.