SCHEDULES.

Hawke's Bay Herald, Volume 2, Issue 75, 26 February 1859, Page 5

SCHEDULES.

FORM No. 1. To the Registration Officer of the Electoral District of I hereby give you notice that I claim to have my Name inserted in the List of for the Electoral District of ' , and that the particulars of my place of Abode and Qualilication are stated in the columns below. (Signed) CD. Christian ' Name and Nature Place where ProSurname of Place of of Q.uali- perty situate, & the Claimant Abode. fieation. name, or desat full criptionofsame. length. FORM No. 2. I, the above named C. D., do hereby declare that the particulars of my abode and qualification as, stated or referred to in my notice of claim above (or within) written, in the (above or tniihin) columns, are true to the best of lny knowledge and belief. Signed and declared to at ~\ this day of > in the year 18 . J Before me, E. F., J. P. or Registration Officer. FORM No. 3. To the Registration Officer of the Electoral District of I hereby give you notice that I object to the name of the person mentioned and described below being retained on tha List of Voters for the Electoral District of , in respect of the qualification hereunder specified. Christian ] Nature Name and Sur- Place of of Q.ualiname of the Abode fication | Ground of obperson object- as des- objected •jection concisely cd to, as des- criberl to as des- Btated. cribed in the therein, cribed List, or Elec- therein, toral Roll. Dated the day of in the year 18 a. h. (Place of abode.) FORM No. 4. To the Registration Officer of the Electoral District of I hereby give you notice that I am desirous of having my name (or my qualification hereunder stated) omitted from the (Electoral Moll or List of Claimants,) for the Electoral District of and that the particulars of my Place of abode and Qualification are stated in the Baid (Electoral Roll or List of Claimants) - as follows : Christian Nature Place where ProNameandSur- Place of of Quali- perty situate, & name as stated Abode as fication name or descripin Electoral therein as there- tion of same as Roll or List of stated, instated, therein stated: Claimants.

Signed by the above-named J. K. in the presene3 of . ' , . : ■ .■■.'•.' L. M., "■" ' . ■! « ;' : ; J. P. " „..;. ;;..,., FORM No. 5..'. The following persons' are objected to as notbehig entitled to have their names retoined on the List of Voters for the Electoral District of Christian I Mature I Name and Place of the Ground Name and Surname of supposed of place of ofeachper- Abode. Qualifi- objection abode of eon object- cation. Objector, ed to. N. 0., • ■ . . Registration Officer. FORM No, 6. - The names of the following persons have been omitted from the {^Electoral Roll or List of Claimants) for the Electoral District of at their own request. Christian iNature Place where proifameandSur- Place of of Q.uali- perty situate, & name of per- abode as fication name ordescripsons omitted therein as there- tion of same as stated in stated, instated. as therein Roll or List. - stated. N. 0., Registration Officer. FORM No. 7. List of Persons qualified to vote at the Elections of Members of the House of representatives for the Electoral District of Christian and. Place when-pvo-Surname of . Place of Mature poi'iy situate, & each Elector Abode, of Quali- description of at full length. fication. same. A. B. } Registration OfKcar, FORM Ifo. 8. For every printed or Written Copy of any Electoral Roll containing any number of Persons' names, — s. d. 2sTot exceeding 250 names 2 0 Exceeding 250 and not exceeding 500 3 0 Exceeding 500 and not exeseding 750 4 0 Exceeding 750 and not exceeding 1000 5 6 Exceeding 1000 6 0 ; And for every written copy, treble the above rates.