H.—43

22

APPKNDIX 111. NATIONAL EFFICIENCY BOARD. Form A, —Form to be filled in by Faemeb Reservists foe the Information of Trustee Boards, WHO WILL ASSIST OK. ACT FOR THEM. (All the information given heroin will bo treated as confidental; and, as it will form the basis for any action that the Trustees might take, it should be as accurate as possible.) To the Board of Trustees for Soldiers' Farms at Date : Full name: Address : Regimental address [// not yet known, to be advised later] : Dependants, if any [Relationship, if any, to be : Next-of-kin [Name given or to be given to the military authorities to be stated here] : PARTICULARS OF FARM. Freehold : Section , Block , Survey District. Freehold area, acres roods poles. Leasehold [Where tenure of various tft&ions differs, state tenure of each and area separately] : Section . Block , Survey District. Tenure and area: Total leasehold area, acres roods poles. Situation : Nearest, railway-station (distance) : . Nearest dairy factory (distance) : Nearest school (distance) : Class of roads giving access to property : Buildings [Make particulars as full <%s possible] : Insurance: Amount of insurance: . Can insurance be increased? . If so, how much ? Fencing [State number of paddocks, etasx of fencing, and any natural boundaries made use of] : Present, condition of farm [Here state area under cultivation, English grass sown after cultivation, English grass surface-sown, native pasture, bush, swamp, &c. | ; Conditions of drainage: Slock now on property : Sheep, ; cattle, ; horses, Usual carrying-capacity : Sheep, ; cattle, ; horses, Cost price of farm, and date of purchase [This need only be stated if purchased within the last five years] : Present value of farm : £ Government taxation value: Unimproved, .£ ; improvements, <£ : total capital value, £ Local taxation [Here state full particulars of any special local charges outside of County and/or Road Board rates] : Present system of working farm : Labour usually employed : Labour at present employed : Can farm be run with less labour; and, if so, what alteration would have to be made in present methods of working, and how would this affect the revenue? Names of bi;nkers and agents : General remarks [Here give any information that would, be of value to the Trustees] : [Date]. LIABILITIES. L J Land mortgages [State whether registered mortgage, overdraft, or unpaid purchase-money] : £ Liabilities against stock, plant and crop [State whether secured or unsecured, or whether in the shape of promissory notes or open accounts. If bills or promissory notes, state what arrangements, if any, are made for renewal]: £ Other liabilities : £ [Date]. ASSETS. Land— Freehold : £ Leasehold : £ Live-stock: £ Working-plant —total value (full particulars on list attached) : ,£ Crop (including growing crops and crops in stack or in barn) : £ Other assets (if any) : £