Jan. 31.] THE NEW ZEALAND GAZETTE. 397

[Form 9 (Reg. 21).
[CAUTION.—Instalments of pensions are payable for a period of one calendar month after due date, and must be collected during that month.]
District: . Certificate No. .
Under the Old-age Pensions Acts, 1908 and 1909.
PENSION-CERTIFICATE.
(Not transferable.)
THIS is to certify that has been granted a pension of pounds sterling, payable by twelve equal monthly instalments of £ : : , of which the first instalment is payable on the 1st day of , 19 , and each subsequent instalment on the 1st day of each calendar month thereafter, at the Post-office at .
Dated this day of , 19 .
Countersigned: , Commissioner.

Every pension granted under the aforesaid Acts shall be deemed to be granted and shall be held subject to the provisions of any amending or repealing Act that may hereafter be passed, and no pensioner shall have any claim for compensation or otherwise by reason of his pension being affected by any such amending or repealing Act.
[NOTE.—The pension being for the personal support of the pensioner, this certificate is absolutely inalienable, whether by way of assignment, charge, execution, bankruptcy, or otherwise howsoever.]

Due Date of Instal-
ment.
Month.
| Amount of
Instalment.
| Office-
stamp.
| Signature of
Paying Officer.
|
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|
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[Form 9A (Reg. 22).
Under the Old-age Pensions Acts, 1908 and 1909.
APPLICATION FOR DUPLICATE PENSION-CERTIFICATE.
Pension No. . District: .
I, , of , being the pensioner [or, as the case may be, the authorised payee], do hereby make application for a duplicate of the original pension-certificate for the year of the above-numbered pension, and in support thereof I do hereby solemnly and sincerely declare as follows:—

1. The original certificate was duly issued to me, and was lost [or destroyed] on or about the day of , 19 [Supply particulars].
2. I have made diligent search for the lost certificate, but without success.
3. The last instalment collected by me on the lost certificate was that payable on the 1st day of , 19 .
   And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of an Act of the General Assembly of New Zealand intituled “The Justices of the Peace Act, 1908.”
   , Applicant.
   Declared by the said , at , this day of , 19 , before me—
   , Registrar of Old-age Pensions [or Justice of the Peace, Solicitor, Constable, Postmaster].
   The Commissioner, Wellington.
   I recommend the issue of a duplicate certificate.
   Date: , 19 . , Registrar [or Postmaster].
   Head Office Notings.

[Form 10 (Reg. 24).
Under the Old-age Pensions Acts, 1908 and 1909.
APPLICATION FOR TRANSFER OF PENSION-CERTIFICATE.
[NOTE.—No transfer is to be made unless the Registrar is satisfied that the change of address is permanent. Arrangements can be made to have instalments paid temporarily at any post-office in New Zealand. (See Form 12.)]
To the Registrar, Old-age Pension District.
Pension-certificate No. .
I, , being the pensioner pursuant to the above-numbered pension-certificate, hereby apply for a transfer of the said pension-certificate from your district to the Old-age Pension District, on the grounds that I intend to reside permanently at the following address: .
I desire payment in the new district at the Post-office, the first instalment required there being that payable on the 1st day of , 19 .
Pension-certificate is herewith attached.
Witness: . , Pensioner.
Occupation: .
Address: .
Date: , 19 .
The Commissioner, Wellington.
Transfer warrant, together with pension-certificate and Court papers, has this day been forwarded to the Registrar at .
The transfer has been noted in my Old-age Pension Register.
Surrendered warrant under section 42 herewith.
, Registrar at .
Date: , 19 .

[Form 11 (Reg. 24).
Under the Old-age Pensions Acts, 1908 and 1909.
TRANSFER WARRANT.
No. of pension transferred: . District: .
Name of pensioner in full: .
Occupation: .
New address: .
Full name of husband [wife]: .
Husband’s [wife’s] pension number: .
Date of establishment of claim: .
Date on which income-year ends in each year: .
Date on which pension-year commences: .
Amount of pension: (annual) £ ; (monthly) £ .
Income last year: (pensioner) £ ; (husband or wife) £ .
Gross property: (pensioner) £ ; (husband or wife) £ .
Office of payment in new district: .
Due date of first instalment payable in new district: .
The Registrar, .
This transfer is recorded in my Old-age Pension Register, and the pension-certificate and Court papers are forwarded herewith.
Please make the necessary entries in your register, and forward this warrant duly completed to the Commissioner at Wellington, by first mail.
, Registrar at .
Date: , 19 .
The Commissioner, Wellington.
Pension now bears No. in my Old-age Pension Register. The pension-certificate has been altered accordingly and re-issued to the pensioner.
, Registrar at .
Date: , 19 .

[Form 12 (Reg. 25).
Under the Old-age Pensions Acts, 1908 and 1909.
APPLICATION FOR CHANGE OF OFFICE OF PAYMENT.
[NOTE.—Payment can be made at any post-office in New Zealand not a money-order office by registered letter.]
Pension-certificate No. . District: .
I, , [Address], being the pensioner [or, as the case may be, the duly authorised agent] pursuant to the above-