Dec. 7.] THE NEW ZEALAND GAZETTE. 3147

FIRST SCHEDULE.
ORDERS IN COUNCIL REVOKED.

SECOND SCHEDULE.
Form 1.
New Zealand Customs.

APPLICATION FOR REFUND OF DUTY PAID ON MATERIALS USED IN THE MANUFACTURE IN NEW ZEALAND OF SHIPS, LAUNCHES, YACHTS, OR BOATS.

I, [Name in full], [duly authorized agent (to be struck out if inapplicable)], of [Name of firm (if any), place of business, and occupation], hereby make application for refund of duty under section 28 of the Customs Amendment Act, 1921, on the materials shown in the accompanying list; and I do declare that the said materials have been used in New Zealand in the manufacture of the ships, launches, yachts, or boats specified in the said list. I do also declare that the duty chargeable on the importation of the said materials has been duly paid and has not been refunded.

. . . . . . . . . . , Importer [or Agent.]

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

. . . . . . . . . . , Officer of Customs
[or Postmaster, or Customs Agent, or Solicitor, or Notary Public].

Form 2.

CERTIFICATE OF ORIGIN TO BE WRITTEN OR PRINTED ON INVOICES OF GOODS FOR EXPORTATION TO NEW ZEALAND.

I, [Here insert manager, chief clerk, or as the case may be], of [Here insert name of firm or company], of [Here insert name of city or country], manufacturer/supplier of the goods enumerated in this invoice amounting to , hereby declare that I [(These words should be omitted where the manufacturer or supplier himself signs the certificate) have the authority to make and sign this certificate on behalf of the aforesaid manufacturer/supplier, and that I] have the means of knowing and do hereby certify as follows:—

1. That this invoice is in all respects correct, and contains a true and full statement of the price actually paid or to be paid for the said goods, and the actual quantity thereof.

[Delete whichever of 2 (a) or 2 (b) is not applicable. If 2 (a) is used, delete 3 and 4; if 2 (b) is used, insert required particulars in 3 and 4.)

2. (a.) That every article mentioned in the said invoice has been wholly produced or manufactured in [Insert “United Kingdom” or name of other part of British dominions].

3. (b.) That every article mentioned in the said invoice has been either wholly or partially produced or manufactured in [Insert “United Kingdom” or name of other part of British dominions].

4. As regards those articles only partially produced or manufactured in [Insert “United Kingdom” or name of other part of British dominions],—

(a.) That the final process or processes of manufacture have been performed in that part of the British dominions;

(b.) That the expenditure in material produced in [Insert “United Kingdom” or name of other part of British dominions], and/or labour performed in [Insert “United Kingdom” or name of other part of British dominions], calculated subject to qualifications hereunder, in each and every article is not less than one-fourth of the factory or works cost of such article in its finished state.

4. That in the calculation of such proportion of produce or labour of the [Insert “United Kingdom” or name of other part of British dominions] none of the following items has been included or considered :—

Manufacturer’s profit, or remuneration of any trader, agent, broker, or other person dealing in the articles in their finished condition; royalties; cost of outside packages or any cost of packing the goods thereinto; any cost of conveying, insuring, or shipping the goods subsequent to their manufacture.

Dated at this day of , 19 .
Witness : . . . . . . . . . . . .
Signature : . . . . . . . . . . . .