Feb. 22.] THE NEW ZEALAND GAZETTE. 435

(b) Fails or refuses to surrender to the Board his certificate
of registration on demand in writing purporting to
be made by the authority of the Board ; or
(c) Fails or refuses to surrender to the Board on its re-
vocation any certificate of registration issued to him
under these regulations ; or
(d) Fails to observe or perform any duty directly or by
implication placed upon him by these regulations.
(2) Every person who commits a breach of these regulations
is liable to a penalty not exceeding £50.

SCHEDULE.
[Form No. 1, Reg. 14.
REGISTER OF DAIRY FACTORY MANAGERS.

[Form No. 2, Reg. 19.
The Dairy Industry Act, 1908, and the Dairy Factory Managers
Regulations, 1934.

FORM OF APPLICATION FOR REGISTRATION.
THIS form is to be filled in and signed by the applicant and
posted to—
The Registrar,
Dairy Factory Managers Registration Board,
Department of Agriculture,
Wellington.

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

1. What is your full name [Christian names, Surname ?]
2. Postal address :
3. Date of birth :
4. Practical experience :—

5. If the holder of a University degree or diploma in
   dairying or other special educational qualifications state
   particulars.
6. State class of certificate applied for, whether creamery
   manager’s and cheese-factory manager’s, creamery manager’s
   only, or cheese-factory manager’s only.
7. The application fee of ten shilling (10s.) is enclosed.
   [Usual signature of applicant.]
   [Date.]

References to be forwarded :—
(1) Present employer (original, one copy).
(2) Previous employers (certified copies only).

[Form No. 3, Reg. 20.
The Dairy Industry Act, 1908, and the Dairy Factory Managers
Regulations, 1934.

Certificate No. .
CERTIFICATE OF REGISTRATION AS A DAIRY FACTORY MANAGER.
THIS is to certify that , of , employed by
as , having satisfied the Dairy Factory
Managers Registration Board that he is qualified to be
registered under the above-entitled regulations, was on the
day of , 19 , duly registered under the
number as a dairy factory manager entitled to a
[creamery and/or cheese-factory] Manager’s certificate.
This certificate, unless sooner revoked, expires on the
31st July, 19 .
. . . . . . . . . . . . , Chairman.
. . . . . . . . . . . . , Registrar.

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

[Form 4, Reg. 20.
The Dairy Industry Act, 1908, and the Dairy Factory Managers
Regulations, 1934.

APPLICATION FOR NEW CERTIFICATE OF REGISTRATION.
I, , of , hereby apply for a new certificate
of registration as a dairy factory manager in respect of a
[Insert creamery and/or cheese-factory].
Last certificate No. . Class [Insert creamery and/or
cheese-factory.]
Present employer :
Present position :
I enclose fee of ten shillings [10s.] for such new certificate.
Dated this day of , 19 .
[Signature of applicant.]

This application should be posted to the Registrar, Dairy
Factory Managers Registration Board, Department of Ag-
riculture, Wellington, so as to be in his hands not later than
1st May.

[Form 5, Reg. 26.
The Dairy Industry Act, 1908, and the Dairy Factory Managers
Regulations, 1934.

NOTICE OF APPEAL.
THIS form is to be filled in and signed by the appellant and
posted to the Registrar, Dairy Factory Managers Registration
Board, Department of Agriculture, Wellington.

1. Appellant’s name [in full].
2. Postal address :
3. I am an applicant for a [the holder of a]—
   Creamery manager’s and cheese-factory manager’s
   certificate.
   Creamery manager’s certificate.
   Cheese-factory manager’s certificate.
   [Strike out words not applicable.]
4. Date of appeal.
5. Name [in full] of person appointed by appellant to act
   as assessor at the hearing of the appeal.
   SIR,—
   I hereby give notice of appeal against the decision
   of the Dairy Factory Managers Registration Board [State here
   decision appealed against] on the following grounds : [If
   space insufficient use sheets of foolscap. State facts concisely
   in numbered paragraphs.] The prescribed fee of ten shillings
   (10s.) is enclosed.
   [Signature of appellant.]

I HEREBY consent to act as assessor for the purpose of this
appeal.
[Signature of assessor for appellant.]

(N.B.—This notice of appeal is to be furnished in duplicate.)
F. D. THOMSON,
Clerk of the Executive Council.

Vesting a Reserve in the Wanganui Hospital Board.

BLEDISLOE, Governor-General.
ORDER IN COUNCIL.
At the Government Buildings at Wellington, this 12th day of
February, 1934.

Present :
THE RIGHT HON. G. W. FORBES PRESIDING IN COUNCIL.

WHEREAS the land described in the Schedule hereto
has been duly set apart as a site for a maternity
hospital : And whereas, in the opinion of the Governor-General,
it is expedient that the said land should be vested in the
Wanganui Hospital Board :
Now, therefore, His Excellency the Governor-General of
the Dominion of New Zealand, acting by and with the advice
and consent of the Executive Council of the said Dominion,
and in exercise of the powers and authorities conferred upon
him by section nine of the Public Reserves, Domains, and
National Parks Act, 1928, doth hereby declare that, from
and after the day of the date hereof, the reserve described
in the Schedule hereto shall become vested in the Wanganui
Hospital Board, in trust, as a site for a maternity hospital.

SCHEDULE.
ALL that parcel of land in the Wellington Land District, con-
taining by admeasurement 3 acres 1 rood 30·4 perches, more
or less, being part of Section 11, right bank of Wanganui
River, and being all the land comprised in Certificate of Title,
Volume 247, folio 296 (Wellington Registry).

F. D. THOMSON,
Clerk of the Executive Council,
(L. and S. 6/8/50.)