H.—l2

26

for actuarial purposes), and that the cards will be arranged together in order according to tho year of birth ofthe member they represent. It is therefore necessary that great care should be taken to make the information in column 2 accurate. Sickness. 3. The names of all members who were sick during any portion of tho year are to be entered first in column 1, tho period of sickness at each rato of sick-pay being entered in column 3, the rate in column 4, the amount of sick-pay in column 5, and tho number of attacks of sickness during the year in column 6. If a member has received sick-pay at more than one rate, an extra line is to be taken for each rate, but tiie name is to be entered once only. Registered "Wives. 4. The names of all members who married during the year (if thereby entitled to a funeral benefi in event of wife's death), and of all members, if any, who, though married, were not before entitled to the said benefit, but who during the year, by registration of their wives or otherwise, became so entitled, are to be entered next in column 1. The letter R is, in both cases, to be inserted opposite their names in column 7, and the year of the wife's birth in column 8. Deaths. 5. The names of members who died or whose wives died during the year are to be entered next in column 1, the date of death being placed in column 9, the cause in column 10, and where the entry refers to the death of a wife, the letter W in column 12. Members Leaving. G. The names of members leaving from any other cause than death are to be placed last in column 1, the date of leaving being entered iv column 9, and the cause in column 11. Column to be added. 7. The figures in column 5 arc to be added, and tho total must agree with the amount entered under the same head in the " General Statement of Receipts and Expenditure, Funds, and Effects." Remarks. 8. Particulars respecting any member not provided for in the earlier columns, but which it appears desirable to place on record, are to be entered in column 12 as Remarks.

SCHEDULE VIII. "Friendly Societies Act, 1877." General Statement of Receipts and Expenditure, Funds and Effects, of the for the Year ended 31st December, 18 . This statement is to be forwarded to the Registrar of Friendly Societies, Wellington,* on or before the Ist day of April, 18 . A copy of the auditor's report should also be sent. Males. Females. 1^ 0111 Number of benefit members! at the beginning of the year Number of benefit members admitted (ty initiation ... during the year j ty clearance .. (. By reinstatement, &c. Number of benefit member who died during the year ... Number of benefit members who left \ ty clearance ... (In other moaes Number of benefit memberst at the end of the year

* The officers of the will be held responsible for ils delivery to the Eegistrar, whether they cause it to be forwarded direct or through the medium of the . See " The Friendly Societies Act Amendment Act, 1878," s. 10. t Ims Bhould include all bcuefit members, whotlicr " good ou the books" or not.

Members who have received SickPay or other benefits, who have married (if thereby entitled to a Funeral Benefit in event of Wife's Death), or who, though previously married, have become entitled to tiie said Benefit through registration of their Wives or otherwise, who have died, or whose Wives have died, or who have left, .during the Year. Particulars relating to Sickness during the Year. Particulars relating to Eegist ration ot Wives. Parti, and the: ml firs relating ti Members leavin{ fear. Deaths during fir3 v o I'* P o go '_. _! • rj « 0) 1.4 _-§8 h _> p_i _) o 4- 0) _£ Sick-Pay. fl o o-*> lJ !_ 2 o « H * _o o ll _ . to _. !_ S I __« 8 . |t * ,■5 a » i_l o J. o _. fi a oE _> ■2fi m fi Deaths of Members or of Registered Wives. O -S 5.'- »«>■_ sgSf llll A ., o>.2 4> & «_ ■A fl^_ O o P. ■ I 1 8 M .i a. .3 «_ _ 1. Name. cj d "Wis. Dys. £ s. d. Total Sick-Pay (L.B.) Signature of Secretary: Date: day of ,18