MAY 3.] THE NEW ZEALAND GAZETTE. 1227

[Form No. 2.

CERTIFICATE OF REGISTRATION OF MOTOR-VEHICLE UNDER THE MOTOR-VEHICLES ACT, 1924.

THIS is to certify that the motor-vehicle, particulars of which are given below, has been registered under the Motor-vehicles Act, 1924.

Description of Motor-vehicle.

Name of owner :
Address of owner :
Situation of garage :
Engine No. :
Chassis No. :
Make of motor-vehicle :
Seating-accommodation : persons.*
Intended for—
Private use : or
Conveyance of passengers : or
Conveyance of goods : or
Conveyance of passengers and goods.
Gross weight of motor-vehicle unladen : tons cwt.
qr. lb.†
Manufacturer’s rating of weight-carrying capacity : tons
cwt. qr. lb.
Registration No. and distinguishing marks :
Dated at , this day of , 19 .

Deputy-Registrar of Motor-vehicles.

NOTE.—This certificate must be produced to the Deputy-Registrar when applying for a transfer of the registration. The Deputy-Registrar must be notified if situation of garage altered.

• Not required for motor-cycles.
  † Not required for motor-cycles or private motor-cars.

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[Form No. 3.

FORM OF APPLICATION FOR LICENSE TO USE MOTOR-VEHICLE UNDER THE MOTOR-VEHICLES ACT, 1924.

To the Deputy-Registrar of Motor-vehicles for the Provincial District at .

I HEREBY apply for a license to use the motor-vehicle, particulars of which are given below :—

Name of owner :
Address of owner :
Situation of garage :
Engine No. :
Chassis No. :
Make of motor-vehicle :
Seating accommodation : persons.*
Intended for—
Private use : or
Conveyance of passengers only : or
Conveyance of goods only : or
Conveyance of passengers and goods.
Are passengers always carried free of charge, or without reward ? [Yes or No.]
Gross weight of motor-vehicle unladen : tons cwt.
qr. lb.†
Manufacturer’s rating of weight-carrying capacity : tons
cwt. qr. lb.
Registration number and distinguishing marks :
Dated at , this day of , 19 .

[Signature of Owner.]

• Not required for motor-cycles.
  † Not required for motor-cycles or private motor-cars.

—

[Form No. 4.

APPLICATION FOR DUPLICATE CERTIFICATE OF REGISTRATION FOR MOTOR-VEHICLE UNDER THE MOTOR-VEHICLES ACT, 1924.

To the Deputy-Registrar of Motor-vehicles at [City, borough, town district, or county.] [Delete entries not required.]

I HEREBY apply for a duplicate certificate of registration for motor-vehicle, particulars of which are given below :—

Registration No. at present allotted to vehicle :
Name of owner (in full, with title) :
Address of owner :
Situation of garage : [Street and town.]
Type of motor-vehicle : [Car, cycle, trade-motor, &c.]
Engine No. : Chassis No. :

Make of motor-vehicle :
Whether tires are pneumatic or solid :
Seating-accommodation : persons.*
Whether intended for private use (i.e., other than for hire) :
Whether intended for conveyance of passengers, or conveyance of goods, or conveyance of passengers and goods :
Gross weight of motor-vehicle unladen : tons cwt.†
Manufacturer’s rating of weight-carrying capacity : tons
cwt.†

[Signature of Owner.]
Date : . . . . . . . . . .

• Not required for motor-cycles.
  † Not required for motor-cycles or private motor-cars.

(For use in Deputy-Registrar’s office.)

Highway District No. : Receipt No.
Duplicate certificate fee of 2s. 6d. accounted for.
(DATE-STAMP.)

Initials of Receiving Officer :
Old Certificate No :
New Certificate No. issued.
(DATE.)

Card amended :
Initials of Deputy-Registrar :

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[Form No. 5.

NOTICE UNDER THE MOTOR-VEHICLES ACT, 1924, OF DESTRUCTION OF MOTOR-VEHICLE, OR OF ITS PERMANENT REMOVAL FROM NEW ZEALAND.

To the Deputy-Registrar of Motor-vehicles for the Provincial District at .

PURSUANT to the provisions of section 15 of the above-mentioned Act, I hereby give notice that the motor-vehicle, registered No. , owned by me has—
(a) Been destroyed.
(b) Become permanently useless.
(c) Been permanently removed from New Zealand.
(Strike out the lines not applicable.)

Dated at , this day of , 19 .

[Signature of Owner.]

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[Form No. 6.

NOTICE OF CHANGE OF OWNERSHIP OF MOTOR-VEHICLE REGISTERED UNDER THE MOTOR-VEHICLES ACT, 1924.

To the Deputy-Registrar of Motor-vehicles for the Provincial District at .

PURSUANT to the provisions of section 17 of the above-mentioned Act, I hereby give notice that I have sold [or as the case may be] the motor-vehicle owned by me and registered as No. to , of , and, as required by the said Act, I forward herewith the certificate of registration and the current license issued in respect of the said motor-vehicle.

Dated at , this day of , 19 .

[Signature of Owner.]

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[Form No. 7.

FORM OF ENDORSEMENT OF CERTIFICATE OF REGISTRATION AND OF ANNUAL LICENSE CONSEQUENT ON CHANGE OF OWNERSHIP.

Date of transfer :
Transferee :
Address :
Signature or initials of officer recording transfer :

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[Form No. 8.

FORM OF APPLICATION BY MANUFACTURER OF OR DEALER IN MOTOR-VEHICLES FOR SPECIAL REGISTRATION-PLATES UNDER THE MOTOR-VEHICLES ACT, 1924.

To the Deputy-Registrar of Motor-vehicles for the Provincial District at .

I, [Name and description], being a manufacturer of (or dealer in) motor-vehicles, hereby apply for [Insert number] registration-plates for use in accordance with the terms of section 18 of the Motor-vehicles Act, 1924.

Dated at , this day of , 19 .

[Signature.]