H.—lo.

30

APPENDICES. APPENDIX A. (New Zealand.) Attestation oi No. . Name: Corps : , joined at ,on Three Years' Service. Questions to be put to the Volunteer before Enrolment. 1. What is your Name ?—l. 2. In or near what parish or town were you born ?—2. In the parish of , in or near the town of , in the county of 3. What is your age?—3. years months. 4. What is your trade or calling ?—4. 5. Are you an apprentice ? if so, where, to whom, and for what period ?—5. 6. Are you married ? —6. 7. Have you ever served in any regiment, brigade, or corps in Her Majesty's Army ?—7. 8. Have you ever served in the Royal Navy ?—B. 9. Have you ever served in the Volunteers? —9. If so, the recruit is to state the particulars of his former service, and the cause of his discharge, and is to produce, if possible, his certificate of discharge. 10. Have you truly stated the whole, if any, of your previous service ?—lO. . 11. Have you ever been rejected as unfit for Her Majesty's Service ?—ll, 12. For what corp3 are you willing to be enrolled ? —l2. For 13. Are you willing to serve for the term of three years, provided Her Majesty should so long require your services ?—l3. I, , do solemnly declare that the above answers made by mo to the above questions are true, and that I am willing to fulfil the engagement made. Signature of Volunteer : . Signature of Witness : Oath to be taken by Eeoeitit on Eneolment. I, , do sincerely promise and swear that I will be faithful and bear true allegiance to Her Majesty Queen Victoria, and that I will faithfully serve in the Volunteer Force of New Zealand until I shall be lawfully discharged. So help me God. Witness my hand. Signature of Volunteer : . Signature of Witness : CeBTI-TCATE oe Mao-istbate. The recruit above named was cautioned by me that, if he made any false answer to any of the above questions he would be liable to be punished as provided in the Army Discipline and Regulation Act. The above questions were then read to the recruit in my presence. I have taken care that he understands each question, and that his answer to each question has been duly entered as replied to; and the said recruit has made and signed the declaration and oath before me at on this day of , one thousand eight hundred and eightySignature of the Justice: DESCBirnoN oe on Enbol-lent. Age, apparently years months. Distinctive marks. Height, feet inches. Chest measurement, inches. Complexion, Eyes, . Hair, . Religious denomination, Cebtieicate oe Medicai Examination. Examined by me in , and I consider him * for the Service. , Medical Officer. Date : . Place : * Insert here "fit, and approve him/' or "unfit." Note.—Should the approving Medical Officer consider the recruit unlit, he will state here briefly the cause of unfitness.

Statement or the Services of No. , Name

Period of Service in each Rank. Amount c towards Engagi >f Service Limited sment. Corps in rhich served. Promotions, Reductions, Casualties, &c. Rank. From To Years. Days. Total service as ah rave I have examined the above details, ar •espect correct. nd find them in every Further service from the to the discharged Officer Commanding, e , when finally Total service allowed to reckon to the a day of final discharge