If a Surgeon shall have refused to grant a Certificate of Age to any Child or young Person the Word "Refused" shall be written by the Surgeon in the Column of the Register where the Numbers of the Certificates are required to be inserted. residing in examined by me this eight hundred and VICTORIA, C. duly appointed a certifying Son [or Daughter] has been personally One thousand Day of and that in my Opinion the said [Child or young Person] has not the ordinary Strength and Appearance of a Child of at least Eight Years of Age [or of a young Person of at least Thirteen Years of Age], or [or and] is incapacitated by Disease and bodily Infirmity from working in a Print Work for the Time allowed by this Act. Signed Certifying Surgeon. N.B.-The Words within Brackets shall be in the Handwriting of the certifying Surgeon, who shall insert the Reason of his Refusal to be either on account of deficient Age or bodily Infirmity, or both, as the Case may be. I HEREBY certify, That the Child A.B., Son [or Daughter] of C.D. and E.F. residing in me at attended the School kept by in the Parish and County of for the Number of Hours and at the Time on each Day specified in the Columns opposite to his [or her] Name. During the Week ending on Saturday the of Wednes 18 Day Monday. Tuesday. day. Thursday. Friday. Saturday. From To From To From To From To From To From To Total Number of Hours during this Week. From To From To From To From To From To From To Total Number of Hours during this Week. Under the Column headed with the Days of the Week the Periods of the Day that each Child attends School shall be stated, as thus, from Nine to Twelve, or from Two to Five, or any Time, as the Case may be. other The Time when each Child attends School, or the Word "Absent," shall be stated in the Column for each Day in the Handwriting of the Schoolmaster; and no Certificate shall be valid unless the Schoolmaster shall, in his own Handwriting, subscribe to it his Christian and Surname in full. Each Certificate Book shall contain Twenty-six Forms similar to the above, and shall be valid for the Purposes of this Act for Six Months only, either from the First Day of January to the la Day of June, or from the First Day of July to the last Day of December of any Year; and at the Expiration of either Period of Six Months such Certificate Book, containing the School Attendance of the Child certified, shall be delivered by the Parent or other Person having direct Benefit from the Wages of such Child to the Occupier of the Print Work where such Child is employed, and if the Child cease to be employed in the Print Work to the Occupier of which such School Certificate Book was delivered, the Parent or other Person as aforesaid shall be entitled, on demand, to have the said Certificate Book restored to him. SCHE This Register shall contain the Name of every Child employed in the Print Work, to be entered in alphabetical Order, successively when engaged to work, whether for the first Time, or after having left when re-engaged to work. At the Beginning of this Register shall be inserted 1. The Name of the Occupier or Firm. 2. The Name of the Print Work, the Place, Township, Parish, and County where it is situated, and the Post Office to which the Occupier desires his Letters to be directed. 3. The Nature of the Work carried on. 4. The Clock by which the Employment of the Workers in the Print Work is regulated. Every Alteration in any of the above Particulars shall be inserted immediately after the Alteration shall have been made. The Visits of the certifying Surgeon to the Print Work shall be recorded in this Register in the Manner following. Date of Visit. Number of Persons presented for Examination. Number Signature of t *If the Surgeon shall be told that there is no Child or young Person in the Print Work to be examined at the Time of his Visit he shall insert in this Column the Word "None." † If none be granted he shall insert the Word "None." SCHEDULE (C.) Notice to be fixed up in the Print Work. FORM for the NOTICE to be fixed up of the Names and Addresses of the Inspector and Sub-Inspector, and the Clock for regulating the Hours of Work in the Print Work. Name and Address of the Inspector of the District Name and Address of the Sub-In-1 spector of the District Name and Address of the Surgeon who grants Certificates of Age for the Print Work Clock by which the Hours of Work are regulated SCHEDULE (D.) Forms of Summonses and Conviction. FORM OF SUMMONS to be issued by an Inspector or Sub-Inspector against a Person who has committed an Offence. WHEREAS it appeareth to me, I.F., one of Her Majesty's Inspectors [or Sub-Inspector] of Factories, that A.D. of in the County [or Borough, &c.] of against the Act made in the hath offended Year of Her Majesty's Reign, intituled [here set forth the Title of this Act], forasmuch as he the said A.D., on the Year of our Lord Borough, &c.] of at Day of in the in the County [or did [here set forth the Substance of the Charge]: These, therefore, are to require you forthwith to sum mon the said A.D. to appear before such Two or more of Her Majesty's Justices of the Peace acting in and for the County [or Borough, &c.] of who shall be present at LA of the same Day, to answer to the said Charge, and to be further dealt with according to Law, and be you then there to certify what you have done in the Premises. Given under my Hand this in the Year of our Lord Signed Herein fail not. Day of I.F., Inspector [or Sub-Inspector]. FORM OF SUMMONS of a Witness to be issued by an Inspector or WHEREAS it appeareth to me, I.F., one of Her Majesty's Inspectors [or Sub-Inspector] of Factories, that A.D. of in the County [or Borough, &c.] of the Act made in the hath offended against Year of Her Majesty's Reign, intituled [here set forth the Title of the Act]; forasmuch as he the said A.D., on the our Lord of at Day of in the Year of in the County [or Borough, &c.] did [here set forth the Substance of the Charge,] and that B.P. of in the County [or Borough, &c.] is a material Witness to be examined concerning the said Charge: These, therefore, are to require you forthwith to summon the said B.P. to appear before such Two or more of Her Majesty's Justices of the Peace acting in and for the County [or Borough, &c.] of as shall be present at in the County Day of [or Borough, &c.] of at the Hour of on the in the noon of the same Day, to testify his Knowledge concerning the Premises, and be you then there to certify what you have done in the Premises. Herein fail not. Given under my Hand, this in the Year of our Lord County of [Liberty or Borough, Signed Day of I.F., Inspector [or Sub-Inspector]. FORM of CONVICTION. Be it remembered, That on the Day of as the Case may be.] eight hundred and in the Year One thousand A.B. [describe the Offender] is convicted before us J.P. and K. Q., Two of Her Majesty's Justices of the Peace for the County [Liberty or Borough, as the Case may be,] of in pursuance of an Act passed Year of the Reign of Queen Victoria, intituled [here insert the Title of this Act], for that he [describe the Offence]. in the Given under our Hands and Seals, the Day and Year above written. J.P. (L.S.) 8 & 9 VICT. Ꮓ САР. |