SCHEDULES.

SCHEDULE A.

(Place and date)

To___

Sir,—I have paid to the District Surveyor the sum required for the survey of the following Gold Mining Lease application, as required by the Gold Mining Lease Regulations of Otago and I hereby apply for the annual of this application to execute a lease upon the basis therein stated if the Governor or his delegate shall think fit to grant the same.

I have &c.

Signature of Applicant.

| Name and address in full of Applicant. Style under which to be licensed. | Miner’s right number or business license number if any. | Number of Men to be employed by the Lessee. | Amount of capital proposed to be invested. | Extent of land. Proposed mode of working. | Locality. Price locally. | Term for which Lease required. | General Remarks. |
|---------------------------------------------|------------------------------------|------------------------------------|--------------------------------|----------------------------------|------------------|--------------------------|-------------------------------|------------------|
| | | | (1.) For the first __ months’ men. | | | | | |
| | | | (2.) Subsequently, when in full work men. | | | | | |

The above application and any objection thereto will be heard before me at ____ on ____ 18__.

Any person desiring to object to the issue of a Mining Lease upon the above application must within clear days from the date of such application enter his objection at my office at ____.

Warden.

SCHEDULE B.

To all persons whom it may concern.

I hereby give notice that residing at ____ did on the day of ____ 18 apply to the Warden at __ for Gold Mining Lease of (acres or yards) of land which I have this day marked out and that any person desiring to object to the issue of such lease must on or before the day of ____ 18__ enter his objection at the office of the said Warden. And I further give notice that the said land is exempted from occupation for any purpose whatsoever until the application of the aforesaid has been finally dealt with.

Dated the ____ day of ____ 18__.

Signature of Surveyor.

SCHEDULE C.

(Not Transferable.)

PROVINCE OF OTAGO.

District of ____ 18__.

Whereas the application of ____ for a Gold Mining Lease of Crown Lands situated at ____ was heard before me on ____ 18. And whereas I have decided that a Lease of __ acres ____ roods ____ perches should be granted to the said applicant. This is to certify that the said authorised to take possession of the said land and the same to hold use and enjoy subject to the terms and conditions specified in the Gold Mining Lease Regulations in force at the date of the issue hereof.

Warden.

N.B.—This Certificate is to be exchanged for a lease when the said lease is notified that such lease is ready for his acceptance and will become void if the said ____ is notified that a lease will not be granted to him.

SCHEDULE D.

Notice.

Under the Gold Mining Lease Regulations.

To Mr. ____.

Take notice that unless you attend personally or by attorney at my office at ____ within thirty days from the service of this notice and execute lease No. ____ issued in your favor under the Gold Mining Lease Regulations the said lease will be cancelled.

Warden.

Warden’s Office ____ 18__.

SCHEDULE E.

Certificate of service of Notice.

I ____ Bailiff to the Warden’s Court at ____ do hereby certify that I served ____ mentioned in the within notice with a copy thereof on the ____ day of ____ 18__.

____ E. F.

SCHEDULE F.

Know all men by these presents that I A. B. (or we A. B. and C. D.) do hereby make nominate constitute and appoint and in my (or our) place and stead put E. F. of (residence and addition) to be my (or our) true and lawful attorney for me (or us) and in my name (or our names) to accept the lease of auriferous Crown land for mining purposes for which I (or we) on the ____ day of ____ 18 applied and the deed of which was on the __ day of ____ 18__ executed by his Excellency the Governor and for me (or us) and in my (or our) name to sign seal and deliver such deed of lease and for me (or us) and in my name (or our names) to enter into all such covenants and agreements as I (or we) shall be required to enter into and by said deed or otherwise in the matter of said lease and generally for me (or us) and in my name (or our names) to do execute and perform all such other acts deeds and things as may be necessary or may be required to be done executed or performed in and about the acceptance and execution respectively for me (or us) and in my name (or our names of such lease) and deed of lease respectively and I (or we) do hereby ratify and confirm and covenant that I (or we) will ratify and confirm all and whatsoever the said E. F. shall lawfully do or cause to be done in or about the premises by virtue of this power.

In witness whereof &c.

SCHEDULE G.

To the Warden at ____.

In the matter of the Gold Mining lease of lands ____ situated at ____ being lease No. ____ of the employ of labour and capital thereon. I ____ being one of the lessees in the above-mentioned lease do hereby make oath and say—

1. That the average number of men employed on the leased ground and in connection therewith from