MAY 21.] THE NEW ZEALAND GAZETTE. 1543

FORM 9. [Reg. 49.
Under the Coal-mines Act, 1908, and Amendments.
APPLICATION FOR A COAL LEASE.
[If the land is situate wholly outside a mining district the application must be made to the Commissioner of Crown Lands of the land district, and this form must be altered accordingly.]

To the Warden of the Mining District, at .
PURSUANT to the Coal-mines Act, 1908, and amendments, the undersigned [Full name, residence, and occupation] hereby applies for a coal lease in respect of the following land:—
[Insert section and block numbers and name of survey district, and describe boundaries of land, and identify area with reasonable particularity by reference to its situation and ownership.]
[Where the area applied for does not exceed 20 acres a locality plan, in duplicate, of the area applied for, with the boundaries thereof defined by a compass traverse connected with a fixed and clearly indicated survey-mark or with the corner of a section or the angle of a road, must be filed with the application.]
Area applied for: acres roods perches. The said land is [State if unalienated Crown lands, or reserve or endowment, giving nature thereof].
Mark on pegs:
Date of marking out:
Date notice posted to or served upon persons occupying land or having any estate or interest therein:
Names and addresses of such persons:
Has the applicant any interest in any other coal lease or coal-prospecting license? If so, give full particulars of such interest, together with the registered number and date of the lease or license:
If the area applied for adjoins an area held under a coal lease or coal-prospecting license give the name of the lessee or licensee, together with the registered number and date of such lease or license:
State the approximate quantity of coal which may be reasonably extracted from the area in respect of which a lease is applied for:
State the estimated cost of developing the area, including the necessary plant, equipment, and buildings required for such purpose.
State whether or not sufficient finance has been arranged to develop the area as a coal-mine, together with the required plant, equipment, and buildings:
State the estimated annual output:
State the term for which a lease is required:
Address for service:
Dated at this day of , 19 .
Signature of applicant:
A. B.
[Or, as the case may be,
A. B.
(by his Solicitor or Registered Agent, C.D.).]
Precise time of filing this application: [e.g., 6th March, 1924, at 2.30 p.m.].
Time and place appointed for the hearing of the application and all objections thereto: [e.g., Monday, 24th March, 1924, at 10 a.m. at Warden’s Court at .]
Objections must be filed in the Registrar’s office and notified to applicant at least three days before the time so appointed.
, Mining Registrar.

FORM 10. [Reg. 49.
Under the Coal-mines Act, 1908, and Amendments.
APPLICATION FOR LICENSE TO PROSPECT FOR COAL.
[If the land is situate wholly outside a mining district the application must be made to the Commissioner of Crown Lands of the land district, and this form must be altered accordingly.]

To the Warden of the Mining District, at .
PURSUANT to the Coal-mines Act, 1908, and amendments, the undersigned [Full name, residence, and occupation] hereby applies for a license to prospect for coal in respect of the following land:—
[Insert section and block numbers and name of survey district, and describe boundaries of land, and identify area with reasonable particularity by reference to its situation and ownership].
[A locality plan, in duplicate, of the area applied for, with the boundaries thereof defined by a compass traverse connected with a fixed and clearly indicated survey mark or with the corner of a section or the angle of a road, must be filed with the application.]

Area applied for: acres roods perches.
The said land is [State if unalienated Crown lands, or reserve or endowment, giving nature thereof].
Mark on pegs:
Date of marking out:
Date notice posted to or served upon persons occupying land or having any estate or interest therein:
Names and addresses of such persons:
Has the applicant any interest in any other coal-prospecting license or coal lease? If so, give full particulars of such interest, together with the registered number and date of the license or lease:
If the area applied for adjoins an area held under a coal-prospecting license or a coal lease, give the name of the licensee or lessee, together with the registered number and date of such license or lease:
State the estimated cost of prospecting the area:
State whether or not sufficient finance has been arranged to prospect the area:
Address for service:
Dated at this day of , 19 .
Signature of applicant:
A.B.
[Or, as the case may be,
A. B.
(by his Solicitor or Registered Agent, C.D.).]
Precise time of filing this application: [e.g., 6th March, 1924, at 2.30 p.m.].
Time and place appointed for the hearing of the application and all objections thereto: [e.g., Monday, 24th March, 1924, at 10 a.m., at Warden’s Court at .]
Objections must be filed in the Registrar’s office and notified to applicant at least three days before the time so appointed.
, Mining Registrar.

FORM 11. [Reg. 59.
Under the Coal-mines Act, 1908, and Amendments.
OBJECTION TO AN APPLICATION.
In the matter of an application numbered in the Application Record-book, at , for [Here state nature of application to which objection is made].
THE undersigned [Full name, residence, and occupation] hereby gives notice that he objects to the granting of the above-described application, and the following are the grounds of his objection, namely,—
[Here set out grounds of objection clearly, concisely, and in consecutive paragraphs.]
Address for service:
Dated at this day of , 19 .
[Signature of objector, &c.]

FORM 12. [Reg. 63.
Under the Coal-mines Act, 1908, and Amendments.
DECLARATION WHERE APPLICANT DOES NOT DESIRE TO APPEAR.
In the matter of an application numbered in the Application Record-book, at , for [State subject-matter of application.]
I, A. B. [Full name, residence, and occupation], do hereby solemnly and sincerely declare as follows:—

1. That I am the applicant [or one of the applicants] named in the above-described application.
2. That all the statements contained in the said application are true.
3. That all prescribed provisions as to marking out the ground referred to in the application, posting notices thereon, serving notices on all persons affected, and otherwise, have been duly observed, in so far as is required by law.
4. That the ground applied for is Crown land open for mining.
5. That I believe myself [or the applicants] to be entitled to the grant of the application, and know of no valid objection thereto.
6. That, so far as I am aware, no public or private rights will be prejudicially affected by the grant of the application.
7. [Here set out such other facts as may be necessary.]
   And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices of the Peace Act, 1908.
   A. B.
   Declared at this day of , 19 , before me— , a Justice of the Peace for the Dominion of New Zealand [or as the case may be].