3436 THE NEW ZEALAND GAZETTE. [No. 86

[Form D.

The Masseurs Registration Act, 1920.

APPLICATION FOR REGISTRATION.

(a.) Before filling in this form read extract from section 6 of the Act, printed on the back hereof. This is most important.

(b.) Any certificates forwarded with this application should be sent by registered post. They will be returned after they have been submitted to the Masseurs Registration Board.

(c.) This form should be filled up as directed and signed by the applicant, and posted to the Secretary, Masseurs Registration Board, Health Department, Wellington.

1. What is your full name? .. .. .. .. .. Surname. Christian Names

2. What is your present address? .. .. .. ..

3. Give the day, month, and year of your birth :

This space to be completed by applicants under paragraph (b) only.

(1.) Certificates of good character and repute from | (i.)
not less than two persons of repute. Give |
here the names of those signing your certi- | (ii.)
ficates. |
(2.) Certificates (one or more) showing the nature of | (a.)
the examination passed, and to include the | (i.) { (b.)
following information :— | (c.)
(a.) Name of Examining Board. | (a.)
(b.) Date of Examination. | (ii.) { (b.)
(c.) Subjects examined in. | (c.)
| (a.)
| (iii.) { (b.)
| (c.)

Signature : . . . . . . . . . . . .

[To be printed on back of form.]

ENDORSEMENT.

Extract from Section 6 of Masseurs Registration Act, 1920.

6. (1.) Every person, on payment of the prescribed fee, is entitled to be registered as a masseur under this Act who satisfies the Masseurs Registration Board that he is of good character and repute, and that—

* * * * * * *

(b.) He has received satisfactory training as a masseur and is the holder of a certificate as a masseur granted after an examination in both theoretical and practical massage (including medical electricity, remedial exercises, and other branches of physio-therapy) and recognized by the Registrar pursuant to regulations in that behalf as a sufficient certificate for the purposes of this Act ; or

(c.) He has passed an examination under this Act in both theoretical and practical massage after a course of—

(i.) Not less than six months' instruction in anatomy and physiology and theoretical massage (including medical electricity, remedial exercises, and other branches of physio-therapy) at a school for massage recognized for the purposes of this Act pursuant to regulations in that behalf ; and

(ii.) Not less than six months' training in practical massage (including medical electricity, remedial exercises, and other branches of physio-therapy) at a public hospital or other institution approved for the purposes of this Act pursuant to regulations in that behalf (in the case of persons registered under the Nurses Registration Act, 1908), or not less than twelve months' such training in any other case.

[Form E.

Masseurs Registration Board of New Zealand.

(Under Masseurs Registration Act, 1920.)

FORM OF APPLICATION TO BE EXAMINED.

(a.) This form is to be filled up as directed and signed by the applicant, and posted to the "Secretary, Masseurs Registration Board, Health Department, Wellington," so as to reach that officer not later than twenty-eight days before the date of the examination.

(b.) The examination fee of £1 may be paid at any money-order office, and a receipt for same will be given on this application form by the officer receiving it.