1324

THE NEW ZEALAND GAZETTE.

[No. 31

“ I, [Full name, occupation, and address], hereby certify that I was engaged in connection with the business of the Electrical Wiremen's Registration Board on the day claimed for, and incurred the travelling-expenses indicated in the claim.”

Payment.

G. No payment of expenses under these regulations to any member shall be made unless such payment is first approved by a resolution of the Board.

10. APPORTIONMENT OF COSTS.

In those cases where the fees received from applicants for examination, in any one year ending on the 31st day of March, are less than the cost of conducting such examinations the difference shall be made good by a levy on all electrical-supply authorities in existence during any part of that year in direct proportion to their gross revenue for that year.

FIRST SCHEDULE.

Form A.

Electrical Wiremen’s Registration Act, 1925.

FORM OF NOTIFICATION OF APPOINTMENT OF AN INSPECTOR OF ELECTRICAL WIRING.

This form is to be filled in by the supply authority, signed, and posted to-

The Registrar, Electrical Wiremen's Registration Board, c/o Public Works Department, Wellington.

1. Name in full of Inspector : 2. Registered number of Wireman’s License : 3. State numbers of years engaged as an inspector of electrical wiring :

2. State date of present appointment as inspector of electrical wiring :

3. Name of supply authority :

4. Postal address of supply authority :

Signature of person supplying information : Designation : Date :

[To be filled in by Wiremen’s Registration Board.]

Submitted to Board : , 192 . Action taken : Registered No. , 192 Signed : , Chairman.

Form B.

Electrical Wiremen’s Registration Act, 1925.

FORM OF APPLICATION FOR REGISTRATION AS WIREMAN.

This form is to be filled in and signed by the applicant and posted to-

The Registrar, Electrical Wiremen's Registration Board, c/o Public Works Department, Wellington.

Should any original documents or examination certificates be sent with this application, it is desirable that the letter be registered.

(For specimen of completed form see separate sheet.)

1. Name in full : 2. Postal address [State number of street where possible] : 3. Date of birth : 4. *Practical training :

Name of Firm. Length of Time employed. Position held.

5. • Technical training and examinations passed (if any) : 6. * State what electrical wireman’s or electrical fitter's license you hold or have held :-

Grade. Issued by From To

[Usual signature of applicant.] [Date.]

References to be forwarded :

1. Present employer (original). 2. Previous employers (certified copies only). 3. Certificate of technical training (if any).

2. Certificate of supply authority official (present license) : +I, , hereby certify that is the holder of a license.

[Signed.]

[To be filled in by Wiremen’s Registration Board.]

Submitted to Board : / /192 . Action taken : Registered No. , 192 Signed : , Chairman.

• If space insufficient use sheet of foolscap. + State designation and name of supply authority.

Form C.

Electrical Wiremen's Registration Act, 1925.

FORM OF APPLICATION FOR WIREMAN'S PROVISIONAL LICENSE.

THIS form is to be filled in and signed by the applicant and posted to— The Registrar, Electrical Wiremen's Registration Board, Care of Public Works Department, Wellington.

[For specimen of completed form see separate sheet.]

Should any original documents or examination certificates be sent with this application, it is desirable that the letter be registered.

1. Name in full : 2. Postal address [State number of street where possible] : 3. Date of birth : 4. *Practical training—

Name of Firm. Length of time employed. Position held.

5. Technical training and examinations passed (if any) : 6. State what electrical wireman’s or electrical fitter's license you hold or have held :

Grade. Issued by From To

7. State period for which license is required : months (maximum period, six months).

NOTE.—Application for registration (if required) shall be made within one month after the expiry of a provisional license.

8. State reasons for application :

NOTE.—A fee of 5s. must accompany this form.

[Usual signature of applicant.] [Date.]

References to be forwarded :

1. Present employer (original). 2. Previous employers (certified copies only). 3. Certificate of technical training (if any).

[To be filled in by Wiremen's Registration Board.]

Submitted to Board. , 192 Action taken : License No. , , 192 Signed : , Chairman.

*If space insufficient use sheet of foolscap.

Form D.

REGISTER OF INSPECTORS OF ELECTRICAL WIRING.

Registration No. Name. Postal Address. Date of Registration. Registered as Electrical Wireman No. File No. 26/200/