H.—l2

38

Form No. 19. " Trade Union Act, 1878." DECLARATION TO ACCOMPANY NOTICE OF AMALGAMATION. Name of trade union: Register No.: I, of , the secretary of the above-named trade union, do solemnly and sincerely declare that the provisions of the above-mentioned Act in respect of amalgamations have been complied with, and — 1. That the number of members of the said trade union amounts to ; 2. That not less than two-thirds of the said members have signified their consent to an amalgamation between the trade union named , Register No. , and the trade union named , Register No. , as one trade union, under the above name of Secretary. 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.

* This notice must be sent by each trade union.