2330
THE NEW ZEALAND GAZETTE.
[No. 61

Form No. 3.

NOMINATION OF PERSONS TO APPOINT SCRUTINEERS FOR POLL
OF MAORI ELECTORS UNDER SECTION 46 OF THE LICENSING
AMENDMENT ACT, 1910.

FOR the purposes of a poll to be taken in the
Maori District, on the day of , 19 , under
section 46 of the Licensing Amendment Act, 1910, we, the
undersigned electors of the district, hereby nominate [Full
names, addresses, and occupations of the two persons
nominated] as fit persons to appoint one scrutineer to act
at each polling-place in the interest of all electors who
are in favour [or, as the case may be, not in favour] of the
proposal that liquor be supplied to Natives in the said
district. And in support of this our nomination we
hereby severally solemnly declare that we are and we
verily believe each of the persons nominated as aforesaid
to be honestly in favour [or, as the case may be, not in
favour] of the proposal that liquor be supplied as afore-
said.

[Signature, address, and occupation.]

Severally declared by each of the declarants whose
signatures are subscribed hereto, this day of
, 19 , before me,—
C. D.,
Justice of the Peace [or Postmaster].

Form No. 4.

RETURNING OFFICER'S SELECTION OF PERSONS TO APPOINT
SCRUTINEERS AT A POLL OF THE MAORI ELECTORS, IN
THE MAORI DISTRICT, UNDER SECTION 46 OF THE
LICENSING AMENDMENT ACT, 1910.

HAVING considered the nominations duly lodged in this
behalf, and having heard all objections thereto, I hereby
select [Full names, addresses, and occupations of the two
persons selected] as fit persons to appoint one scrutineer
to act at each polling-place in the above-mentioned Maori
District, at the poll of Maori electors to be taken on the
day of , 19 , in the interest of all such
electors who are in favour [or, as the case may be, not in
favour] of the proposal that liquor be supplied to Natives
in that district.

Dated at , this day of , 19 .
Returning Officer.

Form No. 5.

APPOINTMENT OF SCRUTINEERS TO ACT AT THE POLL OF
MAORI ELECTORS, IN THE MAORI DISTRICT, UNDER
SECTION 46 OF THE LICENSING AMENDMENT ACT, 1910.

To the Returning Officer.

FOR the purposes of a poll of the Maori electors of the
Maori District, to be taken on the day of
, 19 , under section 46 of the Licensing Amend-
ment Act, 1910, we, the undersigned, being duly author-
ized in this behalf, hereby appoint the persons mentioned
in the Schedule hereto to act as scrutineers at the polling-
places named in that Schedule in the interest of the Maori
electors of the said district who are in favour [or, as the
case may be, not in favour] of the proposal that liquor be
supplied to Natives in that district.

SCHEDULE.

Scrutineer. Polling-place.
[Full name, address, and occupa- [Name of polling-
tion of scrutineer.] place.]

Dated at , this day of , 19 .
[Signatures of two persons authorized to appoint.]

Form No. 6.

DECLARATION BY ASSOCIATE, CLERK, OR SCRUTINEER AT
POLL OF MAORI ELECTORS UNDER SECTION 46 OF THE
LICENSING AMENDMENT ACT, 1910.

I, [Name in full], associate [or clerk, or scrutineer] at a
poll of the Maori electors of the Maori District, to
be taken under section 46 of the Licensing Amendment
Act, 1910, on the day of , 19 , do
solemnly declare that I will maintain and aid in main-
taining the secrecy of the voting at that poll; and that I
will not communicate to any person, except for some pur-
pose authorized by law, before or after the poll is closed,
any information likely to defeat the secrecy of the poll.

[Signature of declarant.]

Signed and declared at , this day of
, 19 , before me,—
C. D.,
Deputy Returning Officer [or Justice of the Peace,
or Postmaster].

Form No. 7.

DECLARATION OF POLL OF THE MAORI ELECTORS OF THE
MAORI DISTRICT, TAKEN UNDER SECTION 46 OF
THE LICENSING AMENDMENT ACT, 1910.

IN pursuance of section 46 of the Licensing Amendment
Act, 1910, and of the regulations thereunder, I hereby
give notice that at the poll of the Maori electors of the
Maori District, taken on the day of
, 19 , under the provisions of the said sec-
tion 46,—
— votes were recorded in favour of the proposal
that liquor be supplied to Natives in the said dis-
trict; and
— votes were recorded against that proposal.

I hereby declare accordingly that the proposal that
liquor be supplied to the Natives of the said district is
carried [or is not carried, as the case may be].

Dated at , this day of , 19 .
Returning Officer.

As witness the hand of His Excellency the Go-
this twenty-fifth day of July, one thousand nine
hundred and eleven.

J. CARROLL,
Native Minister.

Vaccination Districts constituted.

ISLINGTON, Governor.

IN pursuance and exercise of the power and authority
vested in the Governor by the Public Health Act,
1908, I, John Poynder Dickson-Poynder, Baron Islington,
the Governor of the Dominion of New Zealand, do hereby
abolish the existing vaccination district known as the
Whangarei District, and do declare that the territory
heretofore comprised within the said district is hereby
divided anew into two vaccination districts, the names
whereof shall be the Hikurangi District and the Wha-
ngarei District, and the boundaries whereof shall be coter-
minous with the boundaries of the marriage districts bear-
ing the same names, as are set forth in a Proclamation
bearing date the twenty-eighth day of April, one thousand
nine hundred and eleven, made under the provisions of the
Marriage Act, 1908, and published in the New Zealand
Gazette No. 36, of the fourth day of May, page 1445.

As witness the hand of his Excellency the Governor,
this thirteenth day of July, one thousand nine
hundred and eleven.

GEO. FOWLDS,
Acting Minister of Public Health.

Amendments to Provisional Regulations, New Zealand Military
Forces.

(l.s.) ISLINGTON, Governor.

A PROCLAMATION.

IN pursuance and exercise of all powers and authorities
conferred on me by the Defence Act, 1909, and the
Defence Amendment Act, 1910, I, John Poynder Dickson-
Poynder, Baron Islington, the Governor of the Dominion
of New Zealand, do hereby proclaim and declare that all
persons residing within the areas specified in the Schedule
hereto are hereby exempted until further notice from training
in time of peace.

SCHEDULE.

EXEMPTED AREA No. 1.

All that area in the Auckland Land District bounded
towards the north and north-east generally by the sea from
Cape Maria Van Diemen to the mouth of the Awanui River;
thence towards the south-east by a right line to the north-
western corner of Block I, Ahipara Survey District; and
thence towards the south-west by the sea to the place of
commencement.