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(Signed) 1 Member. Form No. 4.— Keg. 4. 2 3 „ New Zealand.----4 5 „ 6 „ " Friendly Societies Act, 1877." 7 8 Secretary. Eegistered Office : EEQUEST TO CANCEL EEGISTEY. Date: day of 18 . , T _ . • , 1 Name ot society : [If the society intends to avail itself of s. 15 (2) as to the Eegister No.: holding of land, s. 15 (7) as to discharge of mortgages by To the Eegistrar of Friendly Societies, receipt indorsed, s. 1G as to loans to members, s. 17 as to accu- , „, , . . , , . _, ~. . , , ululating surplus of contributions for members' use, or s. 18 as ~ '-J! 10 above-mentioned society desires tha its registry under to sccui-ilv by officers, rules for those purposes must be made, tl,e *»<™.*y pieties Act may be cancelled on the following and it sh.uld be stated in what rules this has been done.] ground-viz. [Statereason for desiring cancelling of registry, as, for instance, that it is a branch ot the , winch has been registered as a single society, or as the case may be] ; and at a general meeting* duly held on the day of , 18 , it was resolved as follows: "That the trustees be authorized to request the Eegistrar to cancel the registry of Form No. 2,—Beg. 3. ■* 6°f ?•*•" . . .. „ f . 2. This request is made by t lie trustees accordingly. New Zealand *** '9 desired that notice of such cancelling be published in the [naming some newspaper], circulating in the city, town, or place of [naming place], in which the registered office of the "Friendly Societies Act, 1877." society is situated * 4. The sum ot , being (he cost of publishing such notice in the said newspaper, and lhe further sum of , APPLICATION TO EEGISTER AN AMENDMENT OF being the cost of publishing the same in the Gazette, are here- _ „ , with transnutted. RULES- (Signed) *l Name of society: > f Trustees. Eegister No. j To the Eegistrar of Friendly Societies. I^^ of 18 Application to register an amendment of the rules of the is made by the person being the Secretary to the said *If not at a general meeting, state in what manner the request has been society, whose name is subscribed at the foot hereof. *. .Ul'the trustees to sign. With this application are sent— (a.) A printed [or written] copy of the registered rules, marked to show where the alterations occur, and what they are : (J.) Two printed [or written] copies of the amendment,* each marked O, and signed by the applicant Form No. 5. — Beg. 6. and three members of the society: (c.) A statutory declaration of an officer of the society New Zealand. that the amendment now submitted for registry has been duly made by the society, and that, to the best of his knowledge and belief, the same is not con- " Friendly Societies Act, 1877." trary to the provisions of the above-mentioned Act in that behalf. (Signed) , Secretary. NOTICE BEFOEE CANCELLING OE SUSPENSION OF Eegistered office: EEGISTEY. Date= day of 18 . _j ame 0 f society i * This word includes a resolution rescinding a rule. itegister JNO. Notice is hereby given to the above-mentioned society that it is the intention of the Eegistrar to proceed on the* day of 18 , to cancel [or to suspend for (any term not exceeding three months)] the registry of tho society, unless cause be shown to the contrary in the meantime. Form Ao. 3. Keg. 3. Tbe ground of such proposed cancelling [or suspension] is that tho acknowledgment of registry has been obtained by fraud New Zealand. r^ or ; ssu _d in mistake, or that the society exists for an illegal purpose, or has wilfully and after notice from me violated the provisions of the above-mentioned Act, or has ceased to exist. " Friendly Societies Act, 1877." The facts should be briefly specified where practicable.] (Signed) , Eegistrar. Date : day of ,18 . DECLAEATION IN SUPPOET OF AN AMENDMENT OF EL TLES. * This will be not less than two months after the date ofthe notice. Name of society : Eegister No. I , of , an officer of the above-named society, do solemnly and sincerely declare that the amendment of the rules of the said society, a copy of which is hereto annexed, has been duly made by the society, and that, to the best of Form *~0- G.—Reg. 7. my knowledge and belief, the same is not contrary to the provisions of the Act above referred to. New" Zealand. And I make this solemn declaration conscientiously believing the same to be true, and by virtue of an Act of the General Assembly of New Zealand intituled " The Justices of the Peace " Friendly Societies Act, 1877." Act, 1866." "&_-?.£trS-A this 'hl _. . CELLING OF EEGISTEY. of , in the year of our Lord one Name of society: thousand eight hundred and , Eegister No. before me rp HE re gi ß try of the above-mentioned society is hereby cancelled * One of Her Majesty's Justices of the Peace iv aud for the said colony. at its request [or as the case may be. The Registrar may, if he