3428
THE NEW ZEALAND GAZETTE.
[No. 115

months immediately preceding the date hereof has been,
declared or known to exist in the State or district of
, in which the undermentioned [Insert whether horses, asses, or
mules] for export to New Zealand are declared by the shipper
thereof to have been during the twelve months immediately
preceding the date hereof.

Dated at , this day of , 19 .
Signature:

FOURTH SCHEDULE.
Form No. 1. (Reg. 8.)
Shipper’s Declaration to accompany “Foreign” Cattle to New Zealand.

I, [Full name and address of shipper], do solemnly and sincerely
declare that the undermentioned cattle are, to the best of
my knowledge and belief, free from all infectious and con-
tagious diseases; that they have been so during the six
months immediately preceding the date hereof; that they
have not within the six months immediately preceding the
date hereof been in direct or indirect contact with any stock
infected with any such disease; and that they have been in
this country for at least six months immediately preceding
the date hereof [or from birth].

Description of Cattle.

And I make this solemn declaration conscientiously believing
the same to be true, and by virtue of the provisions of [State
here under what statutory provisions the declaration is made].
Signed:

Declared at , this day of , 19 ,
before me

Signed:

Form No. 2. (Reg. 8.)
Veterinarian’s Certificate to accompany “Foreign” Cattle to New Zealand.

I, [Insert name and qualifications], a veterinarian* practising
in the [Insert name of district], hereby certify (a) that on
the day of , 19 , I applied the tuberculin
test to the animals referred to in the foregoing declaration,
with negative results, as shown in the dosages and temperature
records attached, and (b) that I have this day examined the
animals referred to in the foregoing declaration and found
them free from all infectious and contagious diseases.

Dated at , this day of , 19 .
Signed:

*In the case of cattle from Canada the certificate must be signed
by a Government veterinarian, and should read “a veterinarian in the
employ of,” &c.

In the case of cattle from the United Kingdom, if signed by a
veterinarian appointed by the New Zealand Government it should read
“a veterinarian appointed in that behalf by the New Zealand Govern-
ment,” &c.

FIFTH SCHEDULE.
Form No. 1. (Reg. 10.)
Shipper’s Declaration to accompany “Foreign” Sheep, Goats, or Swine to New Zealand.

I, [Full name and address of shipper], do solemnly and sincerely
declare that the undermentioned [State whether sheep, goats, or
swine] are, to the best of my knowledge and belief, free from
all infectious and contagious diseases; that they have been
so during the six months immediately preceding the date
hereof; that they have not within the six months immediately
preceding the date hereof been in direct or indirect contact
with any stock infected with any such diseases; and that
they have been in this country for at least six months im-
mediately preceding the date hereof [or from birth].

Description of Animals.

And I make this solemn declaration conscientiously believing
the same to be true, and by virtue of the provisions of [State
here under what statutory provisions the declaration is made].
Signed:

Declared at , this day of , 19 ,
before me, , a Justice of the Peace [or Notary Public].
Signed:

Form No. 2. (Reg. 10.)
Veterinarian’s Certificate to accompany “Foreign” Sheep, Goats, or Swine to New Zealand.

I, [Insert name and qualification], a veterinarian practising in
the [Insert district], hereby certify that on the day
of , 19 , I examined the animals referred to in the
foregoing declaration, and that on the day of ,
19 , I had the sheep [and (or) goats] dipped under my super-
vision by thorough immersion in an approved scab-destroying
preparation, and that I found the said animals free from all
infectious and contagious diseases.

Dated at , this day of 19 .
Signed:

SIXTH SCHEDULE.
Form No. 1. (Reg. 12.)
Shipper’s Declaration to accompany Dogs from the United Kingdom to New Zealand.

I, [Full name and address of shipper], do solemnly and sincerely
declare that the undermentioned dogs are, to the best of my
knowledge and belief, free from all infectious and contagious
diseases; that they have been so during the nine months
immediately preceding the date hereof; that they have not
within the nine months immediately preceding the date hereof
been in direct or indirect contact with stock infected with
any such disease; and that they have been in this country
for at least nine months immediately preceding the date
hereof [or from birth].

Description of Dogs.

And I make this solemn declaration conscientiously believing
the same to be true, and by virtue of the provisions of [State
here under what statutory provisions the declaration is made].
Signed:

Declared at , this day of , 19 ,
before me,

Signed:

Form No. 2. (Reg. 12.)
Veterinarian’s Certificate to accompany Dogs from the United Kingdom to New Zealand.

I, [Insert name and qualification], a veterinarian practising in
the [Insert district], hereby certify that on the day
of , 19 , I examined the dogs referred to in the
foregoing declaration, and found the said animals free from
all infectious and contagious diseases.

Dated at , this day of , 19 .
Signed:

SEVENTH SCHEDULE.
(Reg. 14.)
Shipper’s Declaration to accompany “Foreign” Deer or other Undomesticated Live-stock to New Zealand.

I, [Full name and address of shipper], do solemnly and sincerely
declare that the undermentioned [State kinds of animals] are,