1056
THE NEW ZEALAND GAZETTE.
[No. 22

Form F 6A.
(This form supersedes Form F 6A issued under section 24 of
the principal Act.)
[Coat of arms.]
Under the Factories Act, 1908 (Section 24, Principal Act;
and Section 3, Amendment Act, 1910).
(To be posted in some conspicuous part of the factory.)
OVERTIME WARRANT.
For Women and Boys.
Department of Labour,
, 191 .
To M
WARRANT is granted for the undermentioned persons to
work extended hours in the trade, from p.m. till
p.m. on , the instant.
………………
………………
………………
, Inspector.
The Factories Act, 1908, section 24, subsection (6). Notice
shall, during some part of the working-day immediately pre-
ceding that on which the extension is intended to apply, be
given to every woman or boy to whom such extension is
intended to apply; or, where such notice is impracticable,
the occupier shall, in addition to any payment for overtime,
provide every such woman or boy who resides at a further
distance than one mile from the factory either with a suf-
ficient meal between the hour at which the factory ordinarily
closes and the hour at which the extension is to commence,
or with an allowance of not less than one shilling, such allow-
ance to be paid on the day on which such extension is to
apply, not later than the hour at which the factory ordinarily
closes.
Section 22 (3). Every person who is employed during such
extended hours under this section shall be paid therefor at
not less than one-fourth as much again as the ordinary rate :
Provided also that when the ordinary rate is by time, and not
by piecework, the overtime rate shall not be less than sixpence
per hour for those persons whose ordinary wages do not
exceed ten shillings a week, and ninepence per hour for all
other persons so employed, and shall be paid at the first
regular pay-day thereafter.
NOTE re LAUNDRIES.—Similar provision is made in sec-
tion 3 of the Amendment Act, 1910, in respect to extended
hours worked in laundries.

Form F 7A.
Under the Factories Act,
1908 (Section 29).
CERTIFICATE OF FITNESS.
Name :
Where employed :
Evidence as to date of
birth :
Passed Standard.
[Initials of Inspector,
and date.]

Form F 7A.
Under the Factories Act, 1908
(Section 29).
CERTIFICATE OF FITNESS.
I, the undersigned Inspector of
Factories, hereby certify that I
am satisfied by the production of
that is of the age
of years, that he [or she]
has passed the Standard, or
an equivalent examination, and is
fit for employment in the factory of
, in the trade of
or in any other factory in the
same line of trade.
Dated at , this day
of , 191 .
, Inspector.

Form F 8A.
Under the Factories Act, 1908 (Section 33).
CERTIFICATE OF EMPLOYMENT OF
.

This is to certify that has
been employed in factory in
the trade, depart-
ment, during the period set opposite.
Dated this day of ,
191 .
, Occupier.

This is to certify that has
been employed in factory in
the trade, depart-
ment, during the period set opposite.
Dated this day of ,
191 .
, Occupier.

NOTE.—This certificate should be retained by the em-
ployee, and filled up by each of his employers.

Form F 8B.
Under the Factories Act, 1908 (Section 33 (3)).
REGISTER OF PERSONS EMPLOYED BY
Address : Trade :

Form F 9A.
Under the Factories Act, 1908 (Section 41 (a)).
NOTICE OF ACCIDENT.
(To be served by occupier on Inspector.)
, 191
The Inspector of Factories,
I HAVE to notify you of an accident that occurred in my factory
on , 191 , to , aged , residing
at .
He was removed to .
The following are particulars of the accident :
, Occupier.
[Trade.]
Section 41 (b).—“If the notice is not duly served as afore-
said within forty-eight hours after the accident occurred, the
occupier shall be liable to a fine not exceeding ten pounds.”

Form F 10A.
Under the Factories Act, 1908 (Section 66 (d)).
NOTICE OF APPEAL FROM REQUISITION OF INSPECTOR OF
FACTORIES.
In the matter of the Factories Act, 1908, and of a Requi-
sition by , of , an Inspector under the
said Act, dated the day of , 191 .
NOTICE is hereby given that I, [we,] the occupier
upon whom the said requisition has been served, consider
such requisition to be unreasonable, and desire to appeal
therefrom. The grounds of the appeal are set forth in the
attached memorandum marked “A.” A true copy of the
said requisition is also attached hereto, marked “B.”
Dated at , this day of
, 191 .
, Occupier of Factory.
To the Clerk of the Magistrate’s Court,
Section 66 (e).—“The appeal shall be void unless the notice
of appeal is duly filed as aforesaid within seven days after
service of the requisition.”

Form F10B.
Under the Factories Act, 1908 (Section 66 (f)).
NOTICE BY CLERK OF COURT OF TIME FOR HEARING OF
APPEAL FROM REQUISITION OF INSPECTOR OF FACTORIES.
In the matter of the Factories Act, 1908, and of an Appeal
from a Requisition of , an Inspector under the
said Act, dated , 191 .
This is to notify you that the above-mentioned appeal has
been set down for hearing at the Magistrate’s Courthouse
at , on the day of , 191 , at the
hour of .
Dated this day of , 191 .
, Clerk of the Magistrate’s Court.
To the Appellant, of , and to Mr.
, an Inspector under the Factories Act, 1908.
As witness the hand of His Excellency the Governor,
this seventeenth day of March, one thousand
nine hundred and eleven.
J. A. MILLAR,
Minister of Labour.

Officers authorized to convene General or District Courts-
martial.

ISLINGTON, Governor.
IN pursuance and in exercise of the powers conferred by
section thirteen of the Defence Act Amendment Act,
1910, I, John Poynder Dickson-Poynder, Baron Islington,
the Governor of the Dominion of New Zealand, do hereby
authorize the undermentioned officers to convene General
or District Courts-martial for the trial under this Act
of such persons subject to military law as are for the time