3032
THE NEW ZEALAND GAZETTE.
[No. 104

8. How long have you been resident in New Zealand? .. 8. ........
9. How long have your parents been resident in New Zealand?—
   Father .. .. .. .. .. 9. ........
   Mother .. .. .. .. .. 9. ........
10. What is your trade or calling? .. .. .. 10. ........
11. Are you an indentured apprentice? If so, where and to whom? .. .. .. .. .. 11. ........
12. What was the address at which you last resided? .. 12. ........
13. Have you passed the fourth educational standard or its equivalent? .. .. .. .. .. 13. ........
14. What is the name and address of your present or last employer? .. .. .. .. .. 14. ........
15. Are you single, married, widower, divorced or legally separated from your wife? .. .. .. 15. ........
16. If married, a widower, divorced or legally separated from your wife, how many children under 16 years of age have you? .. .. .. .. .. 16. ........
17. If single, how many persons are absolutely dependent on you? .. .. .. .. .. 17. ........
18. Have you ever been sentenced to imprisonment by the civil power? If so, when and where? .. .. 18. ........
19. Do you now belong to any military or naval force? If so, to what corps? .. .. .. .. .. 19. ........
20. Have you ever served in any military or naval force? If so, state which and cause of discharge .. .. 20. ........
21. Have you truly stated the whole (if any) of your previous service? .. .. .. .. .. 21. ........
22. Have you ever been medically examined for service with the New Zealand Expeditionary Force? If so, when and where? .. .. .. .. .. 22. ........
23. Have you been registered for compulsory military training under the Defence Act, 1909? If so, where? .. 23. ........
24. Have you ever been rejected as unfit for the military or naval forces of the Crown? If so, on what grounds? 24. ........

I, , do solemnly declare that the above answers made by me to the above questions are true.

Signature of recruit :

Signature of witness :

CERTIFICATE OF ATTESTING OFFICER.

The above questions were read to the above-named recruit in my presence. I have taken care that he understands these questions, and that his answer to each question has been duly entered. The said recruit has made and signed the above declaration before me at , New Zealand, on this day of , one thousand nine hundred and .

[Signature of attesting officer.]

NOTE.—If any alteration is required in the attestation the attesting officer should be requested to make it and initial the alteration.

J. F. ANDREWS,
Clerk of the Executive Council.

Regulations under the Defence Act, 1909, constituting Military Districts, Groups, and Areas.

LIVERPOOL, Governor.

I, ARTHUR WILLIAM DE BRITO SAVILE, Earl of Liverpool, the Governor of the Dominion of New Zealand, do hereby, in exercise and pursuance of the authority conferred upon me by the Defence Act, 1909, make the following regulations under that Act, and declare that they shall come into operation on the twenty-fifth day of September, one thousand nine hundred and sixteen.

REGULATIONS.

1. The Dominion of New Zealand is hereby divided for the purpose of the Defence Act, 1909, into four districts, to be termed military districts, under the respective designations and with the respective boundaries set forth in the First Schedule hereto.