35

H.—l2

Form No. 8. "Trade Union Act, 1878." WITHDRAWAL OR CANCELLING OF CERTIFICATE OF REGISTRY. Name of trade union : Register No.: The certificate of registry of the above-mentioned trade union is hereby withdrawn and cancelled at its request [or as the case may be. The Registrar may, if he thinks fit, add a statement of the ground of the ivithdraival and cancelling]. Registrar. Date: day of , 18 . Form No. 9. " Trade Union Act, 1878." NOTICE OF CHANGE OF REGISTERED OFFICE. Name of trade union : Register No.: To the Registrar of Friendly Societies. Notice is hereby given that the registered office of the above-mentioned trade union is removed from , in the city [town or place] of , aud is now situated at , in the city [town or place] of Dated this day of , 18 . Secretary. * Received, this day of , notice of removal of the registered office of the Trade Union, Register No. , to , in the city [town or place] of Seal [or signature] of Registrar. Form No. 10. " Trade Union Act, 1878." APPLICATION for approval of change OF NAME. Name already registered: Register No.: To the Registrar of Friendly Societies. Application for approval of a change of name of the above-named trade union, from that above-named to the name of , is made by the persons whose names are subscribed at the foot hereof. With this application is forwarded a declaration made by the secretary of the trade union that the provisions ofthe Act relating to change of name have been complied with, and that not less than two-thirds of the total number of members of the union gave their consent to such change. 1. _Member. 5. Member. 2. Member. 6. Member. 3. Member. 7. Member. 4. Member. Secretary. Registered office: Date: day of , 18 . Form No. 11. " Trade Union Act, 1878." DECLARATION IN SUPPORT OF CHANGE OF NAME. Name already registered : Register No. : 1, of , secretary of the above-mentioned trade union, do solemnly and sincerely declare that the provisions of the above-mentioned Act relating to changes of name have been complied with, and that not less than two-thirds ofthe members ofthe said trade union have signified their desire and consent [State here how the consent has been signified] that the name of the said trade union should be altered to [State here name desired to be given]. 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 Act, 1866." Made and subscribed at , in the Colony of New Zealand, this day of , in the year of our Lord one thousand eight hundred and , before me, , one of Her Majesty's Justices of the Peace in and for the said colony. Form No. 12. "Trade Union Act, 1878." APPROVAL OF CHANGE OF NAME. The change of name of the Trade Union to the name of is approved, and the name has accordingly been altered in the register. Dated this day of ,18 . Registrar.

* This part to be detached by the Registrar when the notice is registered, and returned to the society.