2756
THE NEW ZEALAND GAZETTE.
[No. 93

Form 95 (Reg. 135).

Under “The Mining Act, 1908.”

MINE-MANAGER’S CERTIFICATE OF FIRST [or SECOND] CLASS WITHOUT EXAMINATION.

THIS is to certify that [Full name, residence, and occupation], having duly satisfied the Board of Examiners that he is the holder of a corresponding certificate of equal status, granted after examination by [Name of authority] (being a duly constituted and recognised authority outside New Zealand), this first- [or second-] class certificate as mine-manager is hereby granted to him accordingly without examination.

Issued at Wellington, this day of , 19 , by the Board of Examiners.

A. B.,
Chairman.

C. D.,
Secretary.

Form 96 (Reg. 135).

Under “The Mining Act, 1908.”

BATTERY SUPERINTENDENT’S CERTIFICATE BY [or WITHOUT] EXAMINATION.

[As in Forms 94 or 95, or with all necessary modifications.]

Form 97 (Reg. 139).

Under “The Mining Act, 1908.”

APPLICATION TO BE EXAMINED FOR CERTIFICATE AS DREDGEMASTER.

To the Board of Examiners, Wellington.

I, THE undersigned [Full name, residence, and occupation], hereby apply to be examined for a certificate as dredgemaster. I enclose the prescribed fee of £1, and hereby declare as follows: My practical experience consists of actual employment on dredges working in deep or swift-flowing streams, as specified in the Schedule hereto; and in proof thereof I herewith supply evidence in writing from my previous employers, as specified in that Schedule.

Dated at , this day of , 19 .

SCHEDULE.

Particulars and Proof of Employment.

[Signature of applicant.]

No. .

Form 98 (Reg. 143).

Under “The Mining Act, 1908.”

DREDGEMASTER’S CERTIFICATE AFTER EXAMINATION.

THIS is to certify that , of , has duly satisfied the Board of Examiners that he is entitled to a certificate entitling him to take charge of a dredge working on a deep or swift-flowing stream, and this certificate is issued to him accordingly.

Issued at Wellington, this day of , 19 , by the Board of Examiners.

, Chairman.

, Secretary.

Form 99 (Reg. 140).

Under “The Mining Act, 1908.”

CERTIFICATE BY EMPLOYER OF APPLICANT FOR EXAMINATION FOR DREDGEMASTER’S CERTIFICATE.

I HEREBY certify that , of , was employed by me on a dredge working on a deep or swift-flowing stream, situate at , belonging to , from the day of , 19 , to the day of , 19 , and I can recommend him as a man of good repute, sober habits, and competent to undertake the management of a dredge.

Employer’s name and address :

NINTH SCHEDULE.

Form 100 (Reg. 52).

APPLICATION FOR LEASE IN A MINING TOWNSHIP.

“The Mining Act, 1908.”

To the Warden at .

I APPLY for a lease of the ground herein described :—

Situation :

Area :

No. of section (if land is surveyed) :

Tenure :

Length of occupation :

Purpose for which land is to be used :

[Signature.]

Address for service :

Filed by the Mining Registrar, at o’clock on , the day of , 19 .

The above application will be considered on day, , 19 .

A. B., Warden
[or Mining Registrar].

Form 101 (Reg. 52).

FORM OF LEASE IN A MINING TOWNSHIP.

“The Mining Act, 1908.”

THIS deed made the day of , one thousand nine hundred , in pursuance of section forty-three of “The Mining Act, 1908,” between the Warden of the Mining District of (hereinafter, with his successors in office and assigns, called “the lessor”) of the one part, and (hereinafter, with his executors, administrators, and permitted assigns, called “the lessee”) of the other part, witnesseth that the lessor, with the consent of the Minister of Mines, doth hereby demise and lease unto the lessee all that piece or parcel of land situate in the Township of , in the Mining District, containing , and being Section No. on the map of that township in the District Survey Office at , and as the same is more particularly delineated in the plan drawn in the margin of these presents and therein coloured red: To hold the same unto the lessee for the term of years from the date hereof: Yielding and paying unto His Majesty the King, his successors and assigns, during the said term the yearly rent of , by equal half-yearly instalments in advance to the Receiver of Gold Revenue at , the first such