advertisement appears proceedings be commenced by a member or other person interested in or having any claim on the funds of the society [or branch] to set aside such dissolution, and the same is set aside accordingly.

[Signature of Chief Registrar or Assistant Registrar for England, for the Central Office, or of Assistant Registrar for Scotland or Ireland.]

Pursuant to sec. 79 of the Friendly Societies Act, 1896, and to the instrument of dissolution of the said society, registered on the day of 18, I hereby award and direct that the assets of the society shall be divided and appropriated in the following manner :—

Application to Chief Registrar for Award of Dissolution of Society.

Name of Society

Register No.

[If the Society is registered in Scotland or Ireland,

add Scotland or Ireland, as the case may be.]

Application for an award of dissolution of the above-mentioned society is made by the members whose names are subscribed at the foot hereof.

1. The society consists of

members, one-fifth of the whole number of whom [or 100 or more of whom if the society has 1000 members and not exceeding 10,000, or 500 or more of whom if the society has more than 10,000 members] have signed this application.

2. The funds of the society are insufficient to meet the existing claims thereon [or the rates of contribution fixed in the rules of the society are insufficient to cover the benefits assured].

3. The grounds upon which such insufficiency is alleged are as follows: -[state grounds].

4. The Chief Registrar is hereby requested to make or cause to be made, pursuant to s. 80 of the Friendly Societies Act, 1896, an investigation into the affairs of the society with a view to the dissolution thereof.

5. It is desired that notice of the award of dissolution be published in the [naming some newspaper in general circulation in the neighbourhood of the registered office of the society.]

• Any signature by mark only must be attested by a witness who does not sign as a member.

6. The sum of

being the cost of publishing such notice in the said newspaper, and the further sums of for the cost of publishing the same in the "Gazette " and 17., the fee for the award prescribed by the Treasury regulations, are herewith transmitted.

Name of Society
Register No.

Form AU.-Reg. 66.

Friendly Societies Act, 1896.

Notice of Investigation.

[Add Scotland or Ireland, where required.]

Notice is hereby given that the Chief Registrar will proceed by himself [or by the Actuary to the Central Office or by (name of) Assistant Registrar, or Actuary, or Public Auditor, whom the Chief Registrar hereby appoints for the purpose] to investigate the affairs of the above-mentioned society, in compliance with an application in that behalf made pursuant to sec. 80 of the Friendly Societies Act, 1896, on

the

day of

18 (two months at least after the date of the notice), at
o'clock, at
in the county of
and he hereby
directs that in the event of an award of dissolution being made, the date
of the said investigation shall be the date at which all contributions and
benefits shall cease.

Pursuant to sec. SO of the Friendly Societies Act, 1896, I hereby award that the shall be dissolved and its affairs wound up as from and I direct that the assets of the said society shall be divided and appropriated in the following manner :—

the

day of

Form AW.-Reg. 67.

Friendly Societies Act, 1896.

Advertisement of Dissolution of Society by Award.

Notice is hereby given that

the Chief Registrar signed an award for the dissolution of the society, Register No.

on the day of [add Scotland or Ireland where required] held at in the county of and that such society is thereby dissolved, unless within three months from the date of the "Gazette" in which this advertisement appears proceedings be commenced by a member or other person interested in, or having any claim on the funds of the society to set aside such dissolution, and the same be set aside accordingly.

Notice of Proceeding to set aside Dissolution of Society [or Branch].

day of

the above-named society

[or the above-named branch] was dissolved [or purported to be dissolved] by an instrument of dissolution purporting to be duly registered.

I hereby give you notice that I intend, after not less than seven days from the date hereof, to take proceedings for setting aside such dissolution in the County Court [or Sheriff Court, or Recorder's

Court, as the case may be]. day of

Dated

day of

the above-named society

[or the above-named branch] was dissolved or purported to be dissolved by an instrument of dissolution purporting to be duly registered.

The above-named society [or branch] hereby gives you notice that by an order of the County Court [or Sheriff Court, or Recorder's

Court], dated the

day of

copy whereof is hereto annexed, the dissolution of the said society [or branch] was set aside.

Registered Office
Date

day of

18 .

Trustees.

, Secretary.

(This notice must be sent within seven days after the order to set aside dissolution is made. A copy of the order is to be annexed.)

Form-Reg. 76. *

Friendly Societies Act, 1896,
and

Shop Clubs Act, 1902.

Application to Register a Society and for Certificate.

Name of Society

[Has the Society ever had any Rules registered, certified or enrolled!

1. This application is made by the undersigned employer and

Workmen.

2. The undersigned Workmen have been authorised to join in it by being not less than three-fourths of the total number of Workmen in the employment.

* This new Form was added by the Regulations of January 1, 1903.

3. The Society is a Friendly Society.

4. The following are the benefits provided by the Rules at the cost of the Employer

5. The contribution of the Employer is to be

6. The Society is of a permanent character and is not a Society that annually or periodically divides its funds.

7. The rights of a member leaving the employment are as follows:

8. The matters required to be set forth in the Rules are provided for in the manner shewn by the subjoined Schedule :

Matters required to be set forth in the Rules.

Numbers of the Rules in which these Matters are provided for.

(i.) The name and place of Office of the Society, and the sending to the Registrar notice of any change thereof within 14 days.

(ii.) The whole of the objects for which the Society is to be 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 be imposed on any Member, and the consequences of nonpayment of any subscription or fine.

(i.)

(ii.)