METALLIFEROUS MINES REGULATION Act, 1872.

Mine.

Boys of the age of 12 and under the age of 13 employed below ground.

18

to

day of

18

METALLIFEROUS MINES REGULATION Act, 1872.

Mine.

Male young persons of the age of 13 and under the age of 16 employed below ground.

18

to

day of

18

Name.

Age.

Residence.

Date of first Employment.

Remarks.

17

METALLIFEROUS MINES REGULATION Act, 1872.

Mine.

Boys of the age of 8 and under the age of 13 employed above ground.

18

to

day of

18

Name.

Age.

Residence.

Date of first Employment.

Remarks.

Girls of the age of 8 and under the age of 13 employed above ground.

Mine.

Male young persons of the age of 13 and under the age of 18 employed above ground.

18

to

day of

18

Name.

Agc.

Residence.

Date of first Employment.

Remarks.

20