H.—l

5

With this application are sent— (a.) Two printed [or written] copies of the rules [* together with the tables of contributions for annuities, certified as aforesaid], each marked A, and signed by each of the applicants : (b.) A list marked B of the names of the secretary, and of every trustee or other officer authorized to sue and be sued on behalf of the society : (c.) t A list marked C of every branch, and of the place where the same is established, and of the trustees or officers (if any) authorized to sue and be sued on behalf of each branch respectively : (d.) A copy [or copies] marked D of -the branch rules which are [or are not] intended to be identical. (Signed) 1 Member. 2 3 i 5 6 7 8 Secretary. Registered office : Date : day of ,18 . [If the society intends to avail itself of s. 14 (2) as to the holding of land, s. 24 as to loans to members, or s. 25 as to accumulating surplus of contributions for members' use, rules for those purposes must bo made, and it should be stated in what rules this has been done] * If the society docs not grant annuities, those words should be struck out. + A line should bo drawn through c and d if tho society is not one having branches.

Form No. 2. — Reg. 3. New Zealand. " Friendly Societies Act, 1882." APPLICATION TO REGISTER A PARTIAL AMENDMENT OF RULES. Name of society: Register No.: To the Registrar of Friendly Societies. Application to register a partial amendment of the rules of the is made by the person, being the secretary of the said society, whoso name is subscribed at the foot hereof. With this application are sent — (a.) A printed [or written] copy of the registered rules, marked to show where the alterations occur, and what they are: (6.) Two printed [or written] copies of tho amendment,* signed by the applicant, and three members of the society: (c.) A statutory declaration by an officer of the society that the amendment now submitted for registry has been duly made by the society, and that, to the best of his knowledge and belief, the same is not contrary to tho provisions of the above-mentioned Act in that behalf. (Signed) Secretary. Registered office: Date : day of , 18 . * This word includes a resolution rescinding a rule.

Form No. 2a. — Beg. 3a. New Zealand. " Friendly Societies Act, 1882." APPLICATION TO REGISTER A COMPLETE AMEND MENT OF RULES. Name of society: Register No.: To the Registrar of Friendly Societies. Application to register a complete amendment of the rules of the is made by the person, being the secretary of the said society, whose name is subscribed at the foot hereof. 1. The society is a friendly society [or cattlo insurance society, cr benevolent society, or working-men's club, or specially-authorized society, as the case may be].

(a.) * The society is one having branches. (i.) * The society is one receiving contributions by means of collectors at a greater distance than ten miles from the registered office. 2. The name and place of the registered office of the society are provided for in Rule No. [State number]. 3. Tho whole of the objects for which tho society is established, the purposes for which the funds thereof shall be applicable, the terms of admission of members, the conditions under which any member may become entitled to any benefit assured thereby, and the fines and forfeitures to bo imposed on any member, are provided for in Rule No. [State number]. 4. The mode of holding meetings and right of voting, and the manner of making, altering, or rescinding rules, are provided for in Rule No. [State member]. 5. The appointment and removal of a committee of management, by the name of , of a treasurer and other officers, and of trustees, are provided for in Rule No. [State number]. 0. t The composition of the central body, and the conditions under which a branch may secede from tho society, are provided for in Rule No. [State number]. 7. The investment of the funds, the keeping of the accounts, and the audit of tho same once a year at least, are provided for in Rule No. [State number]. 8. Annual returns to the Registrar of the receipts, funds, effects, and expenditure, and number of members of the society, arc provided for in Rule No. [State number]. 9. The inspection of the books of the society by every person having an interest in the funds of the society (except as in the said Act is mentioned) is provided for in Rule No. [State number]. 10. The manner in which disputes between the society and any of its members, or any person claiming through a member, or under the rules, shall be settled, is provided for in Rule No. [State number]. 11. J Provision is made for meeting all claims upon the society existing at the time of division, before any such division takes place, in Rule No. [State number]. 12. § The keeping separate accounts of all moneys received or paid on account of every particular fund or benefit assured, for which a separate table of contributions payable shall have been adopted, and the keeping separate account of the expenses of management [|] and of medical and surgical attendance, including medicine and medical and surgical requisites], and of all contributions on account thereof, are provided for in Rule No. [State number]. 13. H Annual returns to the Registrar of the sickness and mortality of the society are provided for in Rule No. [State number]. 14. A valuation once at least in every five years of the as-ets and liabilities of tho society, including the estimated risks and contributions, is provided, for in Rule No. [State number]. 15. ** Provision for the voluntary dissolution of the society by the consent of not less than five-sixths in value of the members, and of every person for the time being entitled to any benefit from the funds of the society, unless his claim be first satisfied or adequately provided for, is made in Rule No. [State number]. 10. Tho right of one-fifth of the total number of members [tt or of 100 members if the society have 1,000 and not exceeding 10,000, or of 500 members if the society have more than 10,000] to apply to tho Registrar for an investigation of the affairs of the society, or for winding up tho same, is provided for in Rule No. [State member]. 17. JJ It being intended to assure to the members or some of them a certain annuity, the tables of contributions for such assurance arc certified by , Esquire, an actuary qualified to give such certificate under section 9 of the above-mentioned Act. IS. §§ The provisions of section 21 of the above-mentioned Act are contained in Rule No. [State number].

* If this is not the case, this statement should bo omitted. I If tho society is not one with tranches, this statement should bo omitted. t If the society docs not divide its funds, this statement should be omitted. § If tho society is not a friendly society, or a cattlo insurance society, this and tho remaining numbered statements should be omitted; or, if it be a spocially-authoiized society, any of them which are not renderod applicable by tho authority for registering the society should be omitted. II If the society does not grant a mocTical-attßndanco benefit, the words in brackets should be omitted. II If the society is a cattle insuranco society, this and the next statement should bo omitted. ♦•If the society is not a friendly society, the words " three-fourths" to be substituted for the words "nve-sixtl s in value." tt If the number of members is lin:i:ed to be less than I,COO, or less than 10,0U0, members, the bracketed words relating to both, or the latter, of such cases should ba omitted. tJ If this is not intended, this statement should be omitted. §§ If the society is not ono to which section 21 applies, this statement should be omitted.