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Dated this day of , 18 . (Signature.) Regulations under which Applications for Certificates of Birth for the purposes of " The Friendly Societies Act, 1877," must be made. TnE application must be made on a form similar to this, and must be signed by the applicant; and the 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 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. Approved. Wm. E. E. Beown, Eegistrar-General. By section 14, subsection 10 of the above-mentioned Act, it is enacted that, " For the purpose of this Act a certificate of the birth or death of any member or person insured or to be insured with a registered Friendly Society or registered branch shall be given under his hand by the Eegistrar of Births and Deaths, or other person having the care of the register of births and deaths in which such birth or death is entered, for a su :i not exceeding Is., in place of all fees or payments in respect of the same, on application being made for the same, iv such form and under such regulations as shall be approved by the Eegistrar-General of Births Deaths and Marriages." N.B. —If a certificate of the birth of a person insured or to be insured in an unregistered Friendly Society, in any Benevolent Society (registered or not), or in an Industrial Assurance Company, is required, such certificate must be given on the ordinary form, and the fee payable will be that provided by " The Eegistration of Births and Deaths Act, 1875 " —2s. 6d. if not under seal, ss. if under seal. SCHEDULE VI. Insteuctions to Valuees appointed undee " TnE Feiendlt Societies Act, 1877." 1. The Valuer may require that the particulars for valuation shall be supplied to him in such form as he may think fit, together with a copy of the rules for the time being of the society, and copies of the annual returns, and also of the annual statements of account of the society where these are not identical with the annual returns, for at least the five years next preceding the date up to which the valuation is to be made. 2. The Valuer may ask for such further information as to the affairs of the society as he may deem necessary for the purpose of his valuation. 3. In no valuation of a society's future sickness liabilities shall the total sickness per annum at each age up to age seventy expected to be experienced be less than that given by " Eatcliffe's Sickness Experience for the Years 1866-70 of the Manchester Unity of Odd Fellows, Eural, Town, and City Districts combined." 4. In the case of societies granting sick allowance beyond the age of seventy, the Valuer shall call attention in his report to the principles on which he has valued this portion of the sickness liabilities with special reference to the probable effect of cases of prolonged sickness on the funds of the society. 5. In no valuation of a society's future sickness liabilities shall a higher rate of mortality at any age be einploved than that given by " Eatcliffe's Mortality Experience for the Years 1866-70 of the Manchester Unity of Odd Fellows, Rural, Town, and City Districts combined." 6. In the case of societies having members engaged in occupations more than usually hazardous or injurious to health, or having members residing in localities known to be unhealthy, the Valuer shall in his valuation make such allowance or allowances as regards conditions 5 and 6 as he may deem expedient, and shall call especial attention thereto in his report on the valuation.

'AMES OF THE 'aee: :ts op such 'eeson. Kanie and Surname of ;he Person u Certificate of w Birth is required. Where such Person was Born. In what Year such Person was Bom. Father. Mother.