o'clock in the evening,

for the purpose of considering the scheme for amalgamation set out in the attached statement, and if thought fit, passing the following resolution, viz. :

Resolved

Society [

Branch of the

Society [

Society]

1. That the do amalgamate with the Branch of the said Society], and that the Committee of Management, trustees and other officers of the Society [Branch] be instructed to do all such things as may be required to be done in order to carry into effect such amalgamation, and that the Commissioners be authorised to make such adjustments in the accounts of the above-mentioned Societies [Branches] as are rendered necessary by reason of such amalgamation; and

2. That the amalgamation have effect as from the

may determine.

day of

or as from such other date as the Commissioners

A member may record his vote either at the meeting or by filling up the enclosed voting paper and forwarding it to the Secretary at the undermentioned address. No voting paper so forwarded will be valid unless it is delivered at the address mentioned not later than the

NOTE. If the above-mentioned resolution is carried by the requisite majority, a notice to that effect will be inserted in the newspaper of the

[or will be sent to each insured member].

19,

Are you in favour of the resolution set out in the Notice of Meeting which is in the following

dated

terms:

day of

19

,

Write here "Yes" or "No".
Signature or mark of Voter.

*Signature of Witness

Address of Witness

Member's No.

Date

NOTE. If a member does not propose to attend the Meeting he may record his vote on this paper and forward it to the Secretary as instructed in the notice convening the Meeting. If the member attends the Meeting he should bring with him this paper for the purpose of recording his vote at the Meeting.

This voting paper must not be signed by any person except the person to whom it is sent.

* A witness is required only where the voter makes a mark

Form 3.

NATIONAL INSURANCE (HEALTH) ACTS, 1911 To 1918.

Transfer of Engagements.

Certified copy of Resolution by Committee of Management of Transferee

To the Secretary of the

Society.

Society. Approval No. We, the undersigned, hereby certify that the following resolution was duly passed at a Meeting of the Committee of Management of the Society, Approval No. 191 at "

held on the

day of

viz.:

Resolved that it be agreed to accept the transfer of the whole of the engagements of the Society so far as they relate

day of

to the business of such Society under the National Insurance (Health)
Acts, 1911 to 1918, as from the
19 or such other
date as the Commissioners may determine, in consideration of the said
Society transferring to this Society all its assets as at that date
relating to the business aforesaid.

Dated this

day of

(Signed)

(Signed)

19 "

NATIONAL INSURANCE (HEALTH) ACTS, 1911 To 1918.

Name of Society

Approval No.

Proposed Transfer of Engagements relating to members resident inf

Notice of Meeting.

The following resolution having been carried at a General (Special) Meeting of the above-named Society held on the

191

viz. :-that the

to the

day of

Society do agree to transfer such of its engagements under the Acts as relate to insured members resident in Society, Notice is hereby given

in

that a Special Meeting of the members of the Society who are resident has been demanded by the requisite number of insured members so resident and will be held at

of

on the day 191, at o'clock in the evening, for the purpose of considering whether or not the members so resident approve or disapprove of the resolution set forth above.

A member may record his vote either at the meeting or by filling up the enclosed voting paper and forwarding it to the Secretary at the undermentioned address. No voting paper will be valid unless it is delivered at the address mentioned not later than the 19

* This form may be used with the necessary modifications and adaptations for the purpose of a transfer of engagements relating to men only or to women only.

,

the following

day of

resolution was passed by the requisite majority, viz.:

Number of votes for Resolution
Number of votes against Resolution
Dated this

day of

Form 6.

191

Secretary

NATIONAL INSURANCE (HEALTH) ACTS, 1911 To 1918.

Notice of
Decision of
Members.

Name of Society

Notice of Decision of Members.

Approval No.

The consent of the requisite proportion in value of the members of the
Society has been obtained to the following proposal, viz.:--

Total value of members of the Society

Proportion in value of members consenting

Dated this

day of

191

Secretary.

SIXTH SCHEDULE.

MATTERS TO BE PROVIDED FOR BY THE RULES OF A SOCIETY WITH
RECOGNISED BRANCHES.

(1) As respects the Society and each branch of the Society:

(a) the name and the situation of the principal office;

(b) the manner of election and removal of the Committee of Management and, in cases where the affairs are managed by delegates, the manner of election and removal of such delegates;

(c) the composition, powers, and duties of the Committee of Management;

(d) the manner of election and removal and powers and duties of trustees and other officers;

(e) the remuneration or manner of ascertaining the remuneration of members of Committee, trustees and other officers;

(f) the determination of the time and place of holding and the manner of convening all meetings;

(g) the voluntary dissolution;

(h) the making and alteration of rules.

(2) The manner and conditions in and upon which a branch may secede or be expelled from the Society and the manner of ascertaining the members of a seceding or expelled branch who desire to remain members of the Society.

(3) The manner of admission and expulsion of members.

(4) The inspection of the books of the Society and of each branch of the Society by every person having interest in the Funds of the Society or branch, including power to the Committee of Management of the Society to inspect the books of any branch.

a

(5) The manner of determining disputes between the Society or branch thereof and any person who is, or has ceased to be, a member of the Society or branch or any person claiming through such person or between the Society and any branch or between two or more branches.

SEVENTH SCHEDULE.

PART I.

Provisions of the Arbitration Act, 1889, applied.

Section 7.-The arbitrators or umpire acting under a submission shall, unless the submission expresses a contrary intention, have power

(a) to administer oaths or to take the affirmations of the parties and witnesses appearing; and

(c) to correct in an award any clerical mistake or error arising from any accidental slip or omission.

Section 8.-Any party to a submission may sue out a writ of subpoena ad testificandum, or a writ of subpoena duces tecum, but no person shall be compelled under any such writ to produce any document which he could not be compelled to produce on the trial of an action.

Section 12.-An award on a submission may by leave of the Court or a judge be enforced in the same manner as a judgment or order to the same effect.

Section 19.-Any referee, arbitrator, or umpire may at any stage of the proceedings under a reference, and shall, if so directed by the Court or judge, state in the form of a special case for the opinion of the Court any question of law arising in the course of the reference.

Section 20.-Any order made under this Act may be made on such terms as to costs or otherwise as the authority making the order thinks just.

First Schedule.-(f) The parties to the reference and all persons claiming through them respectively shall, subject to any legal objection, submit to be examined by the arbitrators or umpire, on oath or affirmation, in relation to the matters in dispute, and shall, subject as aforesaid, produce before the arbitrators or umpire, all books, deeds, papers, accounts, writings, and documents within their possession or power respectively which may be required or called for, and do all other things which during the proceedings on the reference the arbitrators or umpire may require.

(i) The costs of the reference and award shall be in the discretion of the arbitrators or umpire, who may direct to and by whom and in what manner those costs or any part thereof shall be paid, and may tax or settle the amount of costs to be so paid or any part thereof, and may award costs to be paid as between solicitor and client.

6979

K 2

The facts and contentions upon which I rely in support of the appeal are set forth in the Particulars hereto attached.

Dated this

day of

19_.

(Signed)

APPELLANT'S PARTICULARS.

[Here set out a concise statement of the facts and contentions upon which the Appellant relies in support of the appeal. A copy of the decision appealed from must be furnished.]

To

Form 2.

Notification of Lodgment of Appeal.

NATIONAL INSURANCE (HEALTH) ACTS, 1911 To 1918.

TAKE NOTICE that Notice of Appeal (of which a copy is enclosed) has been given from the decision of in a dispute between and

of

of

You are hereby required to set out upon the accompanying form or in a form to the like effect particulars in reply in accordance with the instructions thereon, and to return the form to the Commissioners before the day of

19_.

This Form is to be filled up, detached, and returned to the Solicitor to the Commissioners so as to reach him in due course of post on or before the day of 19. The Respondent will not, without the leave of the Commissioners, be entitled to rely on any facts or contentions other than those set out in the Notice of Appeal or this Form.