I.—4a

26

Form 17 (Eeg. 23). Application to surrender Mining Privileges for Purposes of Exchange for Title under " The Mining Act, 1898." To the Warden of the Mining District, at I, A.B. [Full name of applicant], of [Besidence and occupation] , being the holder of the mining privileges specified in the Schedule hereto, do hereby apply to surrender the same, and to obtain in substitution therefor licenses for corresponding mining privileges under " The Mining Act, 1898" ; and I declare as follows :— [Here set out paragraphs (a), (b), (c), and (d) in Form 14.] The address for service is, Dated this day of , 1

THE SCHEDULE ABOVE REFERRED TO.

Signature of applicant: A.B. [Or, as the case may be, A.B. (by his Solicitor or Eegistered Agent, CD.).] The foregoing application, &c. [as in Form 14]. 'Form 18 (Eeg. 23). Under " The Mining Act, 1898." Application for Amalgamation of Claims. To the Warden of the Mining District, at Take notice that I, A.B. [Name of applicant], of [Besidence and occupation], being the holder of the claims described in the Schedule hereto, and being desirous of facilitating the working thereof, and simplifying the titles thereto, do hereby make application for the amalgamation thereof into one claim. And I hereby declare as follows : — [Here set out paragraphs (a), (b), (c), and (d) in Form 14.] The address for service is, Dated this day of , 1 Signature of applicant: A.B. . [Or, as the case may be, A.B. (by his Solicitor or Eegistered Agent, CD.).]

The foregoing application, &c. [as in Form 14].

Form 19 (Eeg. 23). Under "The Mining Act, 1898." Application for Certificate of Protection of a Mining Privilege. To the Warden of the Mining District, at Take notice that, pursuant to "The Mining Act, 1898," I, [Name in full], of [Besidence and occupation] , desire to obtain a protection certificate for the period of in respect of the mining privileges particulars whereof are set out in the Schedule hereto. And I hereby declare as follows : — [Here set out paragraphs (a), (b), and (c), as in Form 14.] The address for service is, Dated at , this day of , 1 Signature of applicant: A.B. [Or, as the case may be, A.B. (by his Solicitor or Eegistered Agent, CD.).]

THE SCHEDULE ABOVE REFERRED TO.

The above application, &c. [as in Form 14].

Form 20 (Eeg. 23). Under "The Mining Act, 1898." Objection by an Objector. In the matter of an application numbered in the Application Eecord-book, at , for a [Here state nature of application to which objection is made]. I, A.B. [Name in full], of [Besidence and occupation] , do hereby give notice that I intend to object to the granting of the above-described application, and the following are the grounds of my objection, namely, — [Here set out grounds of objection clearly, concisely, and in consecutive paragraphs.] The address for service is Dated at , this day of , 1 Signature of applicant : A.B. [Or, as the case may be, A.B. (by his Solicitor or Eegistered Agent, CD.).]

4) "C on £ S £ .3 .a a o © 3 to o a o d a* 1 is •3 » 'S a CU-tJ s a H CO CD « 5 a«° -n CD 173 OJ a 5 ago £*£ M O u g.2'3 0

Number and Claims Dates of proposed to be Licenses or amalgamated. Certificates therefor. lArea of each Claim. Amount expended on each Claim. Remarks.

•2 * f o S ■a o-p o a £»'£*■ .2 •rJ, M o "i* © © © © .a o a-a . °" • ft ™ <" SVaS " O .-in > a«H 'B « S« Q. c3 » d .-*) fi"" B 3 a o © u o ass r3 © fig O cD Sog o