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Eeguxations under which Applications for Certificates of 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 tho fee of Is., if for one certificate only, must be paid at the time the application is made. If the application is for more than one certificate, the fee of Gd. must be paid for every certificate in excess of one. The application may be made on 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 Eegistrar 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. Approved. "Wm. E, E. Brown, Eegistrar- General.

FORM No. 2. CERTIFICATE of the DEATH of a CHILD between Five and Ten Years of Age, issued for the purposes of "The Friendly Societies Act, 1877." Registration District of , in the Colony of New Zealand.

(a.) The cause of death of the above-mentioned child having been entered in the register of deaths on the certificate of a Coroner after inquest held [or of a registered medical practitioner who attended such deceased child during its last illness ; or a certificate under the baud of a registered medical practitioner ; or satisfactory evidence—namely, (b) having, since the registration of the death, been produced, that the probable cause of death of the above-mentioned child was (c) ] .- I grant this (d) certificate to be produced to the (c) , said to be liable for the payment of the sum of (f) £ on the death of the said child. Given under my hand this day of , 18 . (Signed) , Eegistrar. (a.) The Registrar will draw a line through the words or statements which do not apply to the case, (b.) State hero the nature of the evidence produced, (c.) Insert here the probable cause of death as stated in such certificate, or as ascertained by such evidence, (d.) Slate here whether this is tho first, second, third, fourth, &c, similar certificate of this death which lias I een issued, (c.) Insert here the name of the Society or Industrial Assurance Company, (f) Insert here the sum for which the Society or Company is said to be liable, which cannot, together with the moneys mentioned in any previous certificate or certificates of the same death, exceed £10. Form No. 2. (To be printed on back of preceding Form.) Form of Application for a Certificate of the Death of a Child between Five and Ten Tears of Age, for the purposes of " The Friendly Societies Act, 1877." To the Eegistrar of Births and Deaths having the custody of the Eegister in which the death of the under-mentioned person is registered. I, TnE undersigned, hereby demand, for the purposes of the above-mentioned Act, a certificate ofthe death of the person named in the subjoined schedule, such certificate to be written in the form on the back of this application. Name and Surname of the Deceased. Age. When Died. Where Died.

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