Aug. 27.] THE NEW ZEALAND GAZETTE. 3267

Form No. 72.

WARRANT OF COMMITMENT FOR CONTEMPT.

(Rule 187.)

"The Native Land Act, 1909."

IN THE NATIVE COURT,
NEW ZEALAND.

To , Constable, and all other Constables of , and to the Keeper of the Prison [Police-gaol] at .

WHEREAS at a sitting of the Native Court at , held this day before me, , presiding Judge, and Assessor, of , did wilfully insult me, the said presiding Judge, while I was sitting in Court, in proceedings judicially before the said Court, or , the said Assessor, or Clerk of the Court, or Interpreter, or during his attendance in Court, or did wilfully interrupt the proceedings of the Court, or did misbehave in Court, by then and there [Describe the insult, interruption, or misbehaviour]:

This is, therefore, to require you, the said , or some other peace officer, to take the said and deliver him to the said keeper of the at , and I hereby command you, the said keeper, to receive the said into your custody, and there to imprison him for the space of [Not exceeding fourteen days] days, or until he shall be sooner discharged by due course of law; and for your so doing this shall be your sufficient warrant.

Given under my hand and the seal of the Court, this day of , 191 .

, Judge.

Form No. 73.

ORDER PROHIBITING SUPPLY OF LIQUOR TO NATIVES.

(Rule 188.)

"The Native Land Act, 1909."

IN THE NATIVE COURT,
NEW ZEALAND.

WHEREAS I, , a Judge of this honourable Court, am of opinion that the supply of intoxicating liquors to Natives by , a person holding a publican’s license, is interfering with or will probably interfere with the business of the Court during its present sitting at , I hereby order and direct that the said shall not supply any intoxicating liquors, or permit any such liquors to be supplied on his licensed premises situated at , to Natives during .

As witness my hand, this day of , 191 , at .

, Judge.

Form No. 74.

APPLICATION BY A NATIVE TO BE DECLARED A EUROPEAN.

(Rule 195.)

To the Native Land Court.

I, , of , being a Native within the meaning of the Native Land Act, 1909, hereby apply to the Court for a recommendation for the issue of an Order in Council declaring me to be a European in terms of section 17 of “The Native Land Amendment Act, 1912.”

I enclose the sum of three guineas (£3 3s.), being amount of fees payable on this application.

Dated at this day of , 191 .

, Applicant.

Form No. 75.

DECLARATION OF KNOWLEDGE OF ENGLISH AND POSSESSION OF EDUCATIONAL QUALIFICATIONS.

(Rule 198.)

IN the matter of section 17 of “The Native Land Amendment Act, 1912”; and in the matter of an application by of .

I, , of , do solemnly and sincerely declare—

1. That I am acquainted with the English language.

2. That I am possessed of the following educational qualifications, which are equal to the Fourth Standard as prescribed by “The Education Act, 1908.” [Set out qualifications.]

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

Declared at , this day of , 191 , before me—

Justice of the Peace,
[or Solicitor of the Supreme Court].

Form No. 76.

CERTIFICATE AS TO LANDS HELD EITHER AS OWNER OR OCCUPIER.

(Rule 199.)

IN the matter of section 17 of “The Native Land Amendment Act, 1912”; and in the matter of an application by of .

I, , of , do hereby certify that I am the owner or occupier of the lands enumerated in the Schedule hereto, and that the said lands are sufficient for my adequate maintenance.

Dated at this day of , 191 .

[SIGNATURE.]

SCHEDULE.

I, the undersigned, do hereby certify that the foregoing is a true and correct search of the Land Transfer Registers.

[SIGNATURE.]

Form No. 77.

DECLARATION THAT THE NATIVE APPLYING TO BE DECLARED A EUROPEAN IS EARNING OR HAS SUFFICIENT INCOME FOR AN ADEQUATE MAINTENANCE.

(Rule 200.)

IN the matter of section 17 of “The Native Land Amendment Act, 1912”; and in the matter of an application by of .

I, , of , do solemnly and sincerely declare—

1. That I am personally acquainted with .

2. That the said is engaged in [State special profession, trade, or calling, and whether employed by any other person or not]. Or

That the said has an income of [State amount and source].

3. That the said is earning in that special profession, trade, or calling not less than £ per annum.

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

Declared at , this day of , 191 , before me—

, Justice of the Peace
[or Solicitor of the Supreme Court].