JUNE 20.] THE NEW ZEALAND GAZETTE. 1711

Form G.

ELECTRICAL WIREMEN’S REGISTRATION BOARD OF NEW ZEALAND.

THIS is to certify that , of , having satisfied the Board that he is qualified as an electrical wireman, was on the day of , 19 , registered as an ELECTRICAL WIREMAN under the Electrical Wiremen’s Registration Act, 1925.

Registered No. B.

……………, Chairman.
……………, Registrar.

NOTE.—This certificate remains the property of the Board, and must be surrendered on demand.

—

Form H.

ELECTRICAL WIREMEN’S REGISTRATION BOARD OF NEW ZEALAND.

Certificate of Limited Registration.

THIS is to certify that , of , was granted limited registration as an electrical wireman on the day of , 19 , under section 2 of the Electrical Wiremen’s Registration Amendment Act, 1928, for .

Registered No. C.

……………, Chairman.
……………, Registrar.

NOTE.—This certificate remains the property of the Board, and must be surrendered on demand.

—

Form J.

NEW ZEALAND.

Electrical Wiremen’s Registration Act, 1925.

PROVISIONAL LICENSE.

THIS is to certify that is hereby granted a Provisional License to carry out Electrical Wiremen’s work for a period of months from the date hereof in accordance with section 16 of the Act.

License No.
Dated this day of , 19 .
……………, Registrar.

This license must be returned to the Registrar not later than the day of , 19 .

—

Form K.

Electrical Wiremen’s Registration Act, 1925.

REPORT ON PROVISIONAL LICENSE.

The Registrar,
Electrical Wiremen’s Registration Board,
Care of Public Works Department,
Wellington.

SIR,—
I, , Engineer to the , hereby certify that has [or has not] satisfactorily carried out the work of an electrical wireman during the currency of the provisional license No. .
Details of the work carried out are as follows :—

Signed : ……………
Date : ……………

—

Form L.

NEW ZEALAND.

Electrical Wiremen’s Registration Act, 1925.

CERTIFICATE OF REGISTRATION.

THIS is to certify that is at this date a Registered Electrical Wireman, his name having been duly entered in the Register of Electrical Wiremen of New Zealand.

Registered No. B.
Dated this day of , 19 .
……………, Chairman.
……………, Registrar.

NOTE.—This certificate remains the property of the Board, and must be surrendered on demand.

Form M.

NEW ZEALAND.

Electrical Wiremen’s Registration Act, 1925.

CERTIFICATE OF LIMITED REGISTRATION.

THIS is to certify that is at this date the holder of a certificate of limited registration as an electrical wireman.

Registered No. C.
Dated this day of , 19 .
Registered for :
……………, Chairman.
……………, Registrar.

NOTE.—This certificate remains the property of the Board, and must be surrendered on demand.

—

Form N.

NEW ZEALAND.

Electrical Wiremen’s Registration Act, 1925.

CERTIFICATE OF REGISTRATION.

THIS is to certify that is at this date a registered Inspector of Electrical Wiring for , his name having been duly entered in the Register of Inspectors of Electrical Wiring of New Zealand.

Registered No. A.
Dated this day of , 19 .
……………, Chairman.
……………, Registrar.

NOTE.—This certificate remains the property of the Board, and must be surrendered when the holder ceases to be employed as an Inspector by the above-mentioned supply authority, or on demand.

—

Form O.

Electrical Wiremen’s Registration Board of New Zealand.

THIS is to certify that , of , has passed Part of the examination under the Electrical Wiremen’s Registration Act, 1925, on .
……………, Chairman.
……………, Registrar.

—

Form P.

Electrical Wiremen’s Registration Act, 1925.

NOTICE OF APPEAL.

THIS form is to be filled in and signed by the appellant and posted to the Registrar, Electrical Wiremen’s Registration Board, care of Public Works Department, Wellington.

1. Appellant’s name [in full] :
2. Registered No. (if any) : License No. (if any) :
3. Postal address [State number of street where possible] :
4. I am an { Electrical wireman.
   Inspector of Electrical Wiring.
   [Strike out words not applicable.]
5. Date of appeal :
6. Name [in full] of person appointed by appellant to act as assessor at the hearing of appeal.

[State facts concisely and number the paragraphs.]

SIR,—
I HEREBY give notice of appeal against the decision of the Electrical Wiremen’s Registration Board [State here decision appealed against] on the following grounds [If space insufficient, use sheets of foolscap] :

[Signature of appellant.]

I hereby consent to act as an assessor for the purpose of this appeal.

[Signature of assessor for appellant.]

Appellants are particularly requested to read carefully the extracts from the regulations printed on the back of this form.

NOTE.—This Notice of Appeal is to be furnished in duplicate.
[To be filled in by Wiremen’s Registration Board.]

Submitted to Board : / /19 .
Action taken :
……………, Chairman,