Mar. 9.] THE NEW ZEALAND GAZETTE. 891

sent in force thereunder, which said provisions and conditions shall be deemed to be contained herein.

In witness whereof the parties hereto have hereunto set their hands, the day and year first above written.

Signed by the Superintendent of Workers’ Dwellings, in the presence of—

Signed by the said , in the presence of—

SCHEDULE.

Site :—

1. Description and area of section :
   Dwelling :—
2. Number of rooms :
3. No. of departmental design in accordance with which building to be erected :
4. Capital value :
5. Any other particulars concerning land or building :

Form W.D. 2c.

AGREEMENT FOR WEEKLY [or MONTHLY] TENANCY OF WORKER’S DWELLING.

(Under Section 9 of the Workers’ Dwellings Act, 1910.)
MEMORANDUM of agreement made this day of , 19 , between the Superintendent of Workers’ Dwellings, on behalf of His Majesty the King, of the one part, and [Name in full, address, and occupation], a worker within the meaning of the Workers’ Dwellings Act, 1910, of the other part.

Subject to the provisions of the said Act, and of the regulations thereunder, the Superintendent agrees to let, and the said agrees to take, on a weekly [or monthly] tenancy, at a weekly [or monthly] rent of , payable at such place as the Superintendent from time to time directs, (a) [in the case of a building already erected] the worker’s dwelling, being [Specify number, street, and other particulars sufficient to identify the dwelling], as from the day of , 19 ; or (b) a worker’s dwelling to be erected on the land described in the Schedule hereto in accordance with the particulars set out therein, as from a date to be hereafter fixed by the Superintendent (being not later than fourteen days after notice of the completion of the building has been given to the said ).

And it is hereby further expressly stipulated and agreed that this agreement is entered into subject to the provisions and conditions relating thereto contained in the Workers’ Dwellings Act, 1910, and the regulations for the time being in force thereunder, which said provisions and conditions shall be deemed to be contained herein.

In witness whereof the parties hereto have hereunto set their hands, the day and year first above written.

Signed by the Superintendent of Workers’ Dwellings, in the presence of—

Signed by the said , in the presence of—

SCHEDULE.

Site :—

1. Description and area of section :
   Dwelling :—
2. Number of rooms :
3. No. of departmental design in accordance with which building to be erected :
4. Capital value :
5. Any other particulars concerning land or building :

Form W.D. 3a.

CERTIFICATE OF BOARD ENTITLING PURCHASER TO CERTIFICATE OF TITLE FOR WORKER’S DWELLING.

(Under Section 14 of the Workers’ Dwellings Act, 1910.)
THIS is to certify that [Name in full], of [Address], [Occupation], being a party to an agreement to purchase a worker’s dwelling, dated the day of , 19 , has paid the full amount payable under that agreement, and that the Board of the District of is satisfied that the terms and conditions contained in the said agreement have been duly complied with.

A copy of the said agreement is attached hereto.

Dated at , this day of , 19 .

Signed by the Chairman of the Board for the District of , in pursuance of a resolution of the said Board passed on the day of , 19 .

A. B.,
Chairman of the Board.

J. F. ANDREWS,
Clerk of the Executive Council.

Regulations as to the Registration of Barmaids.

ISLINGTON, Governor.

ORDER IN COUNCIL.

At the Government House, at Wellington, this third day of March, 1911.

Present :

His Excellency the Governor in Council.

WHEREAS by section thirty-six of the Licensing Amendment Act, 1910, the Governor is empowered to make regulations as to the mode of registration of barmaids, and generally for carrying into effect the provisions of that section :

Now, therefore, His Excellency the Governor of the Dominion of New Zealand, in pursuance and exercise of the power and authority conferred upon him by that section, and acting by and with the advice and consent of the Executive Council of the said Dominion, doth hereby make the following regulations.

REGULATIONS.

1. Every person desiring to be registered as a barmaid in accordance with the provisions of section 36 of the Licensing Amendment Act, 1910, shall, on or before the 1st day of June, 1911, forward to the Secretary of Labour, at Wellington, an application in duplicate in the Form L. 1 in the Schedule hereto.

2. Every such application shall be accompanied by a statutory declaration made by the applicant in the Form L. 2 in the Schedule hereto.

3. On the receipt of any such application the Secretary of Labour shall, if satisfied that the applicant is entitled to be registered in accordance with the said section 36, cause the name of the applicant and the other prescribed particulars in respect thereof to be entered in the Register of Barmaids hereinafter referred to.

4. The Secretary of Labour shall cause to be kept a Register of Barmaids in the Form L. 3 in the Schedule hereto.

5. On the entry of the name of any person in the Register of Barmaids the Secretary of Labour shall issue and cause to be forwarded to that person a certificate of registration in the Form L. 4 in the Schedule hereto.

SCHEDULE.

Form L. 1.

APPLICATION FOR REGISTRATION AS A BARMAID.

(Under Section 36 of the Licensing Amendment Act, 1910.)
To the Secretary of Labour, Wellington.

I, [Name in full, stating whether married or single], of [Address], hereby make application to be registered as a barmaid under the provisions of the Licensing Amendment Act, 1910, and I attach hereto a statutory declaration setting out the facts on which I found my claim to be registered.

Dated at , this day of , 1911.

[Signature of Applicant.]

Form L. 2.

STATUTORY DECLARATION.

(Under Section 36 of the Licensing Amendment Act, 1910.)
I, , of , do solemnly and sincerely declare that, since the 21st day of November, 1909, I have been employed as a barmaid for a continuous period of not less than months as follows :—

Name and Address of Licensee or Licensees. Period employed.
……………………………………… From to .
……………………………………… From to .

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices of the Peace Act, 1908.

[Signature of declarant.]

Declared at , this day of , 19 , before me— , Justice of the Peace [or Solicitor, or Notary Public].

Form L. 3.

REGISTER OF BARMAIDS.

(Under Section 36 of the Licensing Amendment Act, 1910.)