1054
THE NEW ZEALAND GAZETTE.
[No. 22

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

Total male employees: . Total female employees: .
Occupiers (including owners, managers, and others personally 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 occupiers): 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.

Form F 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 [or we] hereby declare the same to be correct in every particular:—

The total number of persons (including occupiers) at present 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 16 years and under 20,—
at , at ,
at , at ,
at , at .
Aged 20 years and over,—
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 20 years and over,—
at , at ,
at . |

Total male employees: . Total female employees: .

Occupiers (including owners, managers, and others personally 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 occupiers): 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.

Form F 3c.

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 factory under the Factories Act, 1908. The following are the particulars required; and I [or we] hereby declare the same to be correct in every particular:—

The total number of persons (including occupiers) at present 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

Concerning all Persons employed or engaged in or about the Factory at any Time during the Year ending 31st March, 191 , in connection with the Work of the Factory.

(Any persons employed principally outside the factory premises are to be shown on attached Form L.D., instead of on this form.)

• Board and lodging, or any similar allowance, to be included.

SCALE OF FEES UNDER FACTORIES ACT.

Persons at present employed in factory (including occupiers): 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.