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1. The above-named society desires to amalgamate wtih 3. Notice of tiie intention to make the present application [or transfer all its engagements to] the society, -was advertised in the Gazette, on the day of BesisterNo. , [or the company, a company , being one calendar month previous to the date of this under " The Joint Stock Companies Act, I860"]. application, and a copy of the Gazette in which such notice 2. The trustees [or committee of management] of the appears is sent herewith. Ant-named society hereby apply to the Eegistrar that the "J Trustees [or Members of the following consents and conditions prescribed by the Friendly j Committee of Management.] Societies Act for an amalgamation or transfer of engagements may be dispensed with—viz. [State what consents and conditions}. SCHEDULE V. INSTRUCTIONS TO REGISTRARS OE BIRTHS AND DEATHS AS TO THEIR DUTIES UNDER " TIIE FRIENDLY SOCIETIES ACT, 1877." Br "The Friendly Societies Act, 1877," it has been enacted that Registrars of Births and Deaths shall, for a sum not exceeding Is., grant any certificate of a birth ot* death that may be required for the purposes of tho Act, on application being made for the same in such form and under such regulations as shall be approved by the Registrar-General of Births, Deaths, and Marriages. (Section 14, subsection 10.) No further sum whatever, even for a search, can therefore be charged for any such certificate ; but if application is made at one time for more certificates than one of the same birth or death for the purposes of and in the manner prescribed by the A.ct, the sum charged for every such certificate, other than the first, shall not exceed Gd. ; and whenever the Registrar is required by the person applying for any certificate of birth or death to fill up the form of application, he may demand a sum not exceeding 3d. for so doing. Medical practitioners in attendance on deceased persons are required to furnish certificates showing the cause of death, and Registrars are required by their regulations (No. 51, page 10), if the medical certificate be not forthcoming, to make inquiry as to the name of the medical attendant, if any, and the cause of the non-delivery of the certificate, and to warn the medical attendant against a breach of " The Registration of Births and Deaths Act, 1875," in neglecting to furnish the certificate. "When about to register the death of a child under ten years of age, whose parents belong to the labouring classes, the Registrar should inquire whether any sum of money is payable on such death by any Society or Industrial Assurance Company; and in every case iv which any such child was, during its last illness, attended by a registered medical practitioner, and no inquest held, the Registrar should require the informant to produce a certificate of the cause of death signed by such practitioner; and if _fuch practitioner refuses or neglects to give such certificate, he should at once be proceeded against under section 36 of " The Registration of Births and Deaths Act, 1875." Forms. The Registrar-General has caused forms of the four following descriptions to be prepared: — 1. Form of application for a certificate of the death of a person aged ten years or upwards. 2. Form of application for a certificate of the death of a child between five and ten years of age. 3. Form of application for a certificate of the death of a child under five years of age. 4. Form of application for a certificate of birth. On every such form the following regulations are printed, aud the approval of the RegistrarGeneral is signified:— Regulations tinder which Applications for Certificates of Birth (or Death) for the Purposes of " The Friendly Societies Act, 1877," must be made. " The application must be made on a form similar to this, and must be signed by the applicant ; and the fee of Is. must be paid at the time the application is made. " The application may be made ou any day except Sunday, Good Friday, Christmas Day, or other duly-recognized public holiday. " If the application is made otherwise than personally, it must, with the fee of Is., be conveyed to the Registrar free of all cost to him ; and an envelope or cover of the proper size must also be sent, fully addressed to the person to whom this document is to be returned. If it is to be returned by post, the necessary postage stamps must be affixed to such envelope or cover." Application for tho above forms should be made when required to the Registrar-General, or to the Registrar of Births and Deaths, from whom the certificate is to bo obtained. Applications foe Certificates. Every application for a certificate of birth or death, for the purposes of the above-mentioned Act, must be made ou one of the above forms appropriate to the circumstances of the case. Whenever application is made for a certificate of the death of a child between five and ten years of age, or for a certificate of the death of a child under five years of age, the applicant must state on the form the name of the Society or Industrial Assurance Companj' from which a sum of money is sought to be obtained, and the sum to be obtained. (Section 29, subsection 3.) And such sum must not, together with the moneys mentioned in any previous certificate or certificates of the same death, exceed £10 in •the case of a child between five and ten years of age, and must not exceed £6 in the case of a child