Naval Forces Engagement Form




3206
THE NEW ZEALAND GAZETTE.
[No. 82

APPENDIX VI.

New Zealand Naval Forces.—Form of Engagement under the Naval Defence Act, 1913.

(Twelve years, or if under the age of eighteen years, until that age is reached, and for a further period of twelve years.)

This engagement entails service in the Royal Naval Reserve for a further period of ten years after leaving the active service, or until age of forty years, during which time men will only be required to serve in time of war.

H.M.S. “ ” [or Naval Depot at ].
Date:

Surname. Christian Names in Full. Rating granted. Previous Rating (if any).
Date of Birth. Place of Birth. Full name of next-of-kin :
Relationship :
Address :

PERSONAL DESCRIPTION AT THE DATE OF THIS DOCUMENT.

Height. Chest. Hair. Eyes. Complexion. Wounds, Scars, or Marks. Religion. Trade or Occupation.

This is to certify that we have examined the above-named person as to his fitness for the New Zealand Naval Forces, and we find as follows: He is of perfectly sound and healthy constitution, free from all physical malformation, active and intelligent, and we consider him in all respects fit for Naval service.

………, a Commissioned Naval Officer.
………, Medical Officer.

Commencing Date of this Engagement. Date of First Entry in New Zealand Naval Forces. Date of Expiry of Previous Engagement (if any).

OATH.

I do sincerely promise and swear that I will be faithful and bear true allegiance to our Sovereign Lord the King, his heirs and successors, and that I will faithfully serve in the New Zealand Naval Forces and will observe and obey all orders of His Majesty, his heirs and successors, and of the officers set over me, until I shall be lawfully discharged. So help me God.

Signature (in full):

Sworn [or Affirmed] at this day of before me—

  • Witness to oath or affirmation
    and to signature

  • Must be a Justice of the Peace or a commissioned Naval Officer.

AFFIRMATION.

I solemnly and sincerely promise and affirm that I will be faithful and bear true allegiance to our Sovereign Lord the King, his heirs and successors, and that I will faithfully serve in the New Zealand Naval Forces, and will observe and obey all orders of His Majesty, his heirs and successors, and of the officers set over me, until I shall be lawfully discharged.

Signature (in full):

………[Rank].

CERTIFICATE.

To be signed by men transferring permanently from Royal Navy.

I hereby certify that I understand that in engaging for service in the New Zealand Naval Forces I forfeit all claim to Imperial pension or gratuity.

Signature:

NOTE.—In the case of an engagement being entered into for a shorter term than twelve years, the heading of the form is to be altered as necessary and the alteration attested by the person concerned at the time of subscribing to the oath (or affirmation).



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🛡️ New Zealand Naval Forces Engagement Form

🛡️ Defence & Military
Naval Forces, Engagement, Enlistment, Oath, Affirmation, Medical Examination