Feb. 10.] THE NEW ZEALAND GAZETTE. 491

DUTIES OF GOVERNMENT OFFICERS.

27. It shall be the duty of all Government officers to assist applicants in the preparation of their pension-claims.

28. It shall be the duty of every Registrar of the Supreme Court and Clerk of a Magistrate’s Court, on the conviction in his Court of any person whom he has reason to believe to be an old soldier, to ascertain whether the said person is a pensioner under the said Act, and, if so, to notify the Commissioner in writing accordingly.

29. It shall be the duty of every Registrar of Deaths to notify the Commissioner in writing of the death of every person whom he believes to have been a pensioner under the said Act.

30. It shall be the duty of officers of the Police Force to render such service as may be required by the Commissioner in connection with the investigation of any claim or any inquiry under the said Act. Authority to incur expenditure by any such officer on any occasion must be obtained beforehand from the Commissioner through the Examining Officer.

PENSION DISTRICTS.

31. New Zealand is hereby divided into military pension districts with the same names and boundaries as the areas laid down in the “New Zealand Army List” for the purposes of military training under the Defence Act, 1909.

32. In every such district the Examining Officer shall be the person for the time being holding the office of Area Sergeant-major, as defined by the regulations under the Defence Act, 1909, or any sergeant-instructor in such district.

33. The powers vested in any Examining Officer appointed under these regulations shall also be held by any officer in charge of an area-group as defined by the “New Zealand Army List.”

SCHEDULE.
[Form 1. No. .
MILITARY PENSION-CLAIM.

To the Commissioner of Military Pensions, Wellington.

I, THE undersigned, hereby make claim for a pension under the Military Pensions Act, 1912.

My full name is .
My full address is .
My occupation is [or was] .
My present age is .
If pension granted, I desire payment made at the post-office at .

I have served under the Crown in the Maori Wars as follows:—
Corps in which served: .
Rank: . Regimental No. (if any): .
Period of service [State actual years] : .
Names or localities of actions at which under fire: .
I was awarded the New Zealand War Medal in the year . [Produce New Zealand War Medal; and if not in possession of same, state why.]

Give name and address of person of repute (for preference a comrade in arms or other veteran) who is able to identify you as the person to whom a New Zealand War Medal was awarded: .

During the last ten years I have lived in the following towns or districts in New Zealand, and the person named against each place can verify my residence there:—

During the past ten years I have been absent from New Zealand on the following occasions:—

Have you ever applied for an old-age pension? .
Are you in receipt of an Imperial or other military pension? .
Are you married, single, or a widower? .
If married, give your wife’s full name and (if alive) her address: .
Is your wife an old-age pensioner? .
Are you living together? .
If not, are you living apart pursuant to decree, order, or deed of separation? .

The income of myself and of my wife during the twelve months preceding this date is as follows:—

The names and addresses of the persons from whom above income or free board and lodging was received are as follows:—
Item : .
Item : .
Item : .

The following interests in land and house property are owned by me and by my wife:—

NOTE.—Particulars of Native land to be supplied on separate form No. 1a.

My property as above is mortgaged to [Give full name, address, and occupation of mortgagee] : .
The amount owing by me on this mortgage at the present time is £ .

The property of my wife is mortgaged to [Give full name, address, and occupation of mortgagee] : .
The amount owing by my wife on this mortgage at the present time is £ .

State what part of property above mentioned is used as a home: .

The value of my furniture and personal effects is [If insured, give insured value] £ .

The value of my wife’s furniture and personal effects is [If insured, give insured value] £ .

Money owned by me and by my wife is as follows:—