This legislation has been repealed.
Form No. 1
[Regs, 1, 14]
Friendly Societies Act 1894-1923
APPLICATION TO REGISTER A SOCIETY
Name of Society
To the Registrar of Friendly Societies.
Application to register a society under the above-named Act under the name
of is made by ten persons whose names are subscribed at the foot
hereof.
1. The society is one having branches.*
2. The matters hereinafter mentioned are provided
for in the rules as follow, that is to say: —
*(1) The name of the society in rule No.
*(2) The place of office of the society in rule
No.
*(3) The whole of the objects for which the
society is to be established in rule No.
*(4) The purposes for which the funds are to be
applicable in rule No.
*(5) The terms of admission of members in rule No. , and the scale of
entrance fees and contributions payable thereby in rule No.
*(6) The conditions under which any member may
become entitled to any
benefit in rule No. , and the scale of sick and funeral benefits promised
to members in rules Nos.
*(7) The fines, forfeitures, or penalties to be
imposed on any member or
officer in rule No. , and their destination in rule No.
*(8) The mode of holding meetings in rule No.
*(9) The right of voting in rule No.
*(10) The manner of making, altering, and
rescinding rules in rule No.
*(11) The appointment and removal of a committee
of management (by the name
of ) in rule No.
*(12) The appointment and removal of trustees in rule No. , and the
sending to the Registrar notice of every appointment of a new trustee within
14 days in rule No.
*(13) The appointment of a secretary in rule No. , and the appointment
of a treasurer in rule No.
*(14) The appointment of other officers in rule
No.
(15) The composition of the central body in
rule No.
*
(16) The control to be exercised by the
central body over the
branches in rule No. *
(17) The mode of convening general meetings
for passing or confirming special resolutions in accordance with
section 24 of the Act in rule No.
*(18) The investment of the funds in rule No. , and the manner in which
the moneys received are divided between the several funds in rule No.
*(19) The keeping of the accounts in rule No.
(20) The keeping of all moneys received or
paid on account of each and every particular fund or benefit separate and
distinct, and entering them in a separate account distinct from the moneys
received and paid on account of any other fund or benefit in rule No.
*(21) The audit of the accounts at lease once a
year in rule No.
*(22) The furnishing of return A to the Registrar
every year in due time in rule No.
*(23) The furnishing of return B to the Registrar
every year in due time in rule No.
*(24) The inspection of the books of the society
by every person having an interest in the funds of the society in rule No.
*(25) The manner of settling disputes between the
society or any officer thereof and any of its members, or any person claiming
through a member or under the rules, in rule No.
*(26) The provision for the meeting of all claims
upon the society existing at the time of division before any such division
takes place, in rule No.
**
(27) The provision for the amalgamation of branches in rule No. ,
and the provision defining the rights of the members of an amalgamated branch
in
rule No. .*
(28) A valuation once at least in every five
years of the assets and liabilities of the society, including the estimated
risks and contributions, in rule No.
(29) The provision as to what constitutes
the termination of the society or any branch thereof, in rule No.
(30) The provision fixing the conditions
under which a branch may secede from the society.*
(31) The supplying gratuitously any member
or person interested on demand with a copy of the last Return A, or other
authorised document in lieu thereof, is provided for in rule No.
(32) The keeping a copy of the last annual
balance sheet, with the auditors' report (if any), and of the last
quinquennial valuation always hung up at the registered office is provided for
in rule No.
3. The tables of contributions are certified by Registrar
of Friendly Societies [or an actuary approved under the ninth section of
“The Friendly Societies Act”].
* If this is not the case a line should be drawn
through this statement.
* If the society is not one with branches a line
should be drawn through this statement.
** If the society does not divide its funds a line
should be drawn through this statement.
4. With this application are
sent —
(a) Two printed copies of the rules, each marked
“A” and signed by each of the applicants, together with the
certificate of the Registrar [ or an actuary approved under the ninth section
of “ The Friendly Societies Act ”] to the tables of
contributions.
(b) A list, marked “B,” of the names
of the secretary and of every trustee and every officer (if any other than the
trustees) authorised to sue and be sued on behalf of the society.
(c) A list, marked “C,” of every
branch and of every place wherein the same is established, and of every
trustee and every officer (if any other than the trustees) authorised to sue
and be sued on behalf of each branch respectively.**
(d) Two copies, marked “D,” of the
branch rules which are intended to be identical [or two copies of the rules of
every branch which are not intended to be identical].
1. Member.
2.
”
3.
”
4.
”
5.
”
6.
”
7.
”
8.
”
9.
”
10.
”
Secretary.
Dated this day of 19
.
**Matters required by the Act to be provided for by the rules.
N.B. — If the society intends to avail itself of any or all of
the following provisions of the Act, rules therefor must be made, and it
should be stated in each case by what rule or rules effect has been given
thereto: —
(a) Section 15 (2), as to the power of the
society or any branch thereof to purchase and lease land and buildings, and to
erect buildings for offices, etc.
(b) Sections 15 (4), as to vesting the
property of any branch wholly or partly in the trustees of the parent society.
(c) Section 15 (6), as to the advisability of
the society or central body being answerable for a part at least of the
benefits promised by the branches thereof.
(d) Section 15 (9), as to discharge or
partial discharge of mortgages by receipt in a form other than that given in
the third schedule to the Act.
(e) Section 18, as to accumulation and
withdrawal of surplus contributions.
(f) Section 19, as to security and rendering
of accounts by officers.
(g) Section 22 (1, c.), as to referring
disputes to justices.
(h) Section 26 (7), as to whether the
branches (if any) shall have trustees distinct from the trustees of the
society.
(i) Section 38, as to power of contributing
to or taking part in the management of other societies.
(j) Regulation No. 13, as to making a charge
for recording nominations, etc.
Form No. 1a
[Reg. 1]
(For specially authorised societies under Section 8)
(As Modified by the Registrar of Friendly Societies)
Friendly Societies Act 1894-1923
APPLICATION TO REGISTER A FRIENDLY SOCIETY
SPECIALLY AUTHORISED UNDER SECTION 8
Name of Society
Register No.
To the Registrar of Friendly Societies.
Application to register the above-named society, under the above name, is made
by the ten persons whose names are subscribed at the foot hereof.
1. The registered address of the society is
intended to be
2. The matters hereinafter mentioned are provided
for in the rules as follows, that is to say: —
(1) The name of the society, in Rule No.
(2) The place of office of the society, in Rule
No.
(3) The whole of the objects for which the society
is established, in Rule No.
(4) The purposes for which the funds are
applicable, in Rule No.
(5) The terms of admission of members, in Rule No. , and the scale of
entrance fees and contributions payable thereby, in Rule No.
(6) The conditions under which any member may
become entitled to any benefit, in Rule No.
(7) The fines, forfeitures, or penalties to be
imposed on any member or
officer, in Rules Nos. , and their destination, in Rule No.
(8) The mode of holding meetings, in Rule No.
(9) The right of voting, in Rule No.
(10) The manner of making, altering, and
rescinding rules, in Rule No.
(11) The appointment and removal of a committee of
management (by the name
of ), in Rule No.
(12) The appointment and removal of trustees, in Rule No. , and the
sending to the Registrar notice of every appointment of a new trustee, in Rule
No.
(13) The appointment of a secretary, in Rule No. , and the appointment
of a treasurer, in Rule No.
(14) The appointment of other officers, in Rules
Nos.
(15) The investment of the funds, in Rule No.
(16) The keeping of the accounts, in Rule No.
(17) The audit of the accounts at least once a
year, in Rule No.
(18) The furnishing of Return A to the Registrar
every year in due time, in Rule No.
(19) The inspection of the books of the society by
every person having an interest in the funds of the society, in Rule No.
(20) The manner of settling disputes with a
member, or any person claiming through a member, or under the rules, in Rule
No.
(21) The supplying, gratuitously, any member or
person interested, on demand, with a copy of the last Return A, or other
authorised document in lieu thereof, in Rule No.
(22) The keeping a copy of the last annual balance
sheet, with the Auditor's report (if any), and of the last quinquennial
valuation, always hung up at the registered office, in Rule No.
3. With this application are
sent —
(a) Two printed copies of the society's rules
signed by each of the applicants.
(b) A list, in duplicate, of the trustees,
secretary, and treasurer of the society, and each of the trustees named
therein.
1. Member of Society.
2.
” ”
3.
” ”
4.
” ”
5.
” ”
6.
” ”
7.
” ”
8.
” ”
9.
” ”
10.
” ”
11. Secretary of Society.
Secretary’s address
Dated this day of , 19 .
Form No. 2
[Regs. 3, 47]
Friendly Societies Act 1894-1923
APPLICATION TO REGISTER A PARTIAL AMENDMENT OF RULES
Name of Society
To the Registrar of Friendly Societies.
Application to
register a partial amendment of the rules of the is made by the person whose
name is subscribed at the foot hereof.
With this application
are sent —
(a) A
copy of the registered rules marked to show where the alterations occur and
what they are.
(b) Two
printed copies of the amendment, each marked “O” and signed by the
secretary and three members of the society.
(c)
Evidence by statutory declaration on forms Nos. 3 and 4 that the amendment now
submitted for registry has been duly made by the society.
Secretary.
Registered Office
Dated this day of , 19 .
Form No. 3
[Regs. 3, 4, 47]
Friendly Societies Act 1894-1923
DECLARATION IN SUPPORT OF AMENDMENT OF RULES BY SECRETARY
Name of Society
I, of , do solemnly
and sincerely declare as follows, that is to say: —
1. That I am secretary
of the above-named society, and the signature of to the amendment of rules
annexed hereto is my signature.
2. That the amendment
of rules annexed hereto has been duly made by the said society, and to the
best of my knowledge and belief the same is not contrary to the provisions of
“Friendly Societies Act 1894-1923,” and to the best of my
knowledge and belief the due making thereof is not disputed by any member of
the society, or any person
claiming to be a member. [If such be the case add, except by , naming
the objectors.]
3.
That the amendment annexed hereto was signed in my presence by whose
signatures are affixed thereto, and they are all members of the society.
And I make this solemn
declaration by virtue of Section 106 of “ The
Evidence Act 1906 .”
Declared at , in the State of Western Australia, this
day of , 19 , before me
, J.P.
Form No. 4
[Regs. 3, 4, 47]
Friendly Societies Act 1894-1923
DECLARATION IN SUPPORT OF AMENDMENT OF RULES BY TRUSTEE OF SOCIETY
(OR SECRETARY OF CENTRAL BODY)
Name of Society
I, of , do
solemnly and sincerely declare as follows, that is to say: —
1. That I am a trustee
of the above-named society [or, in case of branch
rules, secretary of the society know as of which the above-named
society is a branch].
2. That to the best of
my knowledge and belief the amendment of rules annexed hereto has been duly
made by the above-named society [or in the case of branch rules has been duly
made in conformity with the rules of the society and branch in that behalf,
and is not contrary to the provisions of “Friendly Societies
Act 1894-1923”], and the due making thereof is not disputed by any
member of the society or any person claiming to be a member. [If such be the
case add except by naming the objectors.]
3. That the signature of to the annexed paper
writing is the signature of the secretary of the above-named society.
And I make, etc.
Form No. 5
[Regs. 4, 47]
Friendly Societies Act 1894-1923
APPLICATION TO REGISTER A COMPLETE AMENDMENT OF RULES
Name of Society
To the Registrar of Friendly Societies.
Application to
register a complete amendment of the rules of the above-named society is made
by the person whose name is subscribed at the foot hereof.
1. The society is one having branches.*
2. The matters hereinafter mentioned are provided
for in the rules as follow, that is to say: —
(1) The name of the
society in rule No.
(2) The registered
address of the society in rule No.
(3) The whole of the
objects for which the society is established in Rule No.
(4) The purposes for
which the funds are to be applicable in rule No.
(5) The terms of admission of members in rule No. , and the scale of
entrance fees and contributions payable thereby in rule No.
(6) The conditions
under which any member may become entitled to any
benefit in rule No. , and the scale of sick and funeral benefits promised
to members in rules Nos.
(7) The fines,
forfeitures, or penalties to be imposed on any member or
officer in rule No. , and their destination in rule No.
(8) The mode of
holding meetings in rule No.
(9) The right of
voting in rule No.
(10) The manner of
making, altering, and rescinding rules in rule No.
(11) The appointment
and removal of a committee of management (by name of ) in rule No.
(12) The appointment and removal of trustees in rule No. , and the
sending to the Registrar notice of every appointment of a new trustee within
14 days in rule No.
(13) The appointment of a secretary in rule No. , and the
appointment of a treasurer in rule No.
(14) The appointment
of other officers in rule No.
(15) The composition of the central body in rule No. *
(16) The control to be
exercised by the central body over the branches in
rule No. *
(17) The mode of
convening general meetings for passing or confirming special resolutions in
accordance with section 24 of the Act, in rule No.
(18) The investment of the funds in rule No. , and the manner in
which the moneys received are divided between the several funds in rule No.
(19) The keeping of
the accounts in rule No.
(20) The keeping all
moneys received or paid on account of each and every particular fund or
benefit separate and distinct, and entering them in a separate account,
distinct from the moneys received and paid on account of any other fund or
benefit in rule No.
(21) The audit of the
accounts at least once a year in rule No.
(22) The furnishing of
return A to the Registrar every year in due time, in rule No.
(23) The furnishing of
return B to the Registrar every year in due time, in rule No.
(24) The inspection of
the books of the society by every person having an interest in the funds of
the society in rule No.
(25) The manner of
settling disputes between the society and any of its members, or any person
claiming through a member or under the rules, in rule No.
(26) The provision for
the meeting of all claims upon the society existing at the time of division
before any such division takes place, in rule No.
*
(27) The provision for the amalgamation of branches in rule No. , and
the provision defining the right of the members of an amalgamated branch, in
rule No. *
(28) A valuation once
at least in every five years of the assets and liabilities of the society,
including the estimated risks and contributions, in rule No.
(29) The provision as
to what constitutes the termination of the society or any branch thereof, in
rule No.
(30) The provision
fixing the conditions under which a branch may secede
from the society in Rule No. *
(31) The supplying
gratuitously any member or person interested, on demand, with a copy of the
last Return A or other authorised document in lieu thereof, is provided for in
rule No.
(32) The keeping a
copy of the last annual balance sheet, with the auditors' report (if any), and
of the last quinquennial valuation, always hung up at the registered office,
is provided for in rule No.
3. The tables of
contributions are certified by Registrar of Friendly Societies [or an Actuary
approved under the ninth section of “The Friendly Societies Act”].
With this application
are sent —
(a) A
copy of the registered rules.
(b) Two
printed copies of the new rules proposed by way of complete amendment, each
marked “P,” and signed by the secretary and three members of the
society, together with the tables of contributions certified as aforesaid.
(c)
Evidence by statutory declaration on forms Nos. 3 and 4 that the amendment now
submitted for registry has been duly made by the society.
Secretary.
Registered Office,
Dated this day of 19 .
* If the society is
not one with branches a line should be drawn through this statement.
* If the society does
not divide its funds a line should be drawn through this statement.
N.B. — If the society intends to avail itself of any or all of
the following provisions of the Act, rules therefor must be made, and it
should be stated in each case by what rule or rules effect has been given
thereto: —
(a)
Section 15 (2), as to the power of the society or any branch thereof to
purchase and lease land and buildings, and to erect buildings for officer,
etc.
(b)
Section 15 (4), as to vesting the property of any branch wholly or partly
in the trustees of the parent society.
(c)
Section 15 (6), as the advisability of the society or central body being
answerable for a part at least of the benefits promised by the branches
thereof.
(d)
Section 15 (9), as to discharge or partial discharge of mortgages by
receipt in a form other than that given in the third schedule to the Act.
(e)
Section 18 as to accumulation and withdrawal of surplus contributions.
(f)
Section 19 as to security and rendering of accounts by officers.
(g)
Section 22 (1, c), as to referring disputes to justices.
(h)
Section 26 (7), as to whether the branches (if any) shall have trustees
distinct from the trustees of the society.
(i)
Section 38, as to power of contributing to or taking
part in the management of other societies.
(j)
Regulation No. 13, as to making a charge for recording nominations, etc.
Form No. 6
[Reg. 5]
Friendly Societies Act 1894-1923
REQUEST TO CANCEL REGISTRY
Name of society
To the Registrar of Friendly Societies.
1. The above-named
society desires that its registry under “The
Friendly Societies Act” may be cancelled on the following ground,
viz.: —
And at a general meeting duly held on the day of
, 19 , it was resolved as follows: — “That the trustees
be authorised to request the Registrar to cancel the registry of this
society.”
2. This request is
made by the trustees accordingly.
3. It is desired that
notice of such cancelling be published in the [naming some newspaper],
circulating in the locality in which the registered office of the society is
situated.
4. The sum of , being the cost of publishing such notice in
the said newspaper, and the further sum of , for the cost of
publishing the same in the “Government Gazette,” are herewith
transmitted.
Trustees.
Registered Office,
Dated this day of , 19
.
N.B. — This form may be used for the Request to Cancel
Registry of a Branch, but, in that case, a certificate under the hand of the
secretary of the society or central body that its consent has been given
thereto must be appended.
Form No. 7
[Reg. 7]
Friendly Societies Act 1894-1923
NOTICE BEFORE CANCELLING OR SUSPENSION OF REGISTRY
Name of society
Notice is hereby given
to the above-named society that it is the
intention of the Registrar to proceed on the day of ,
19 , to cancel [or to suspend for ] the registry of the
society, unless cause be shown to the contrary in the meantime.
The ground of such
proposed cancelling [or suspension] is as follows: —
Registrar of Friendly Societies.
Dated this day of , 19 .
Form No. 8
[Reg. 8]
Friendly Societies Act 1894-1923
CANCELLING OF REGISTRY
Name of society
The registry of the
above-named society is hereby cancelled at its request [or as the case may be.
If thought fit, the ground of the cancelling may be added].
Registrar of Friendly
Societies.
Dated this day of , 19
.
Form No. 9
[Reg. 9]
Friendly Societies Act 1894-1923
SUSPENSION OR RENEWAL OF SUSPENSION
OF REGISTRY
Name of society
The registry of the
above-named society is hereby [further] suspended for from this date, on the
ground that
Registrar of Friendly
Societies.
Dated this day of , 19
.
Form No. 10
[Reg. 10]
Friendly Societies Act 1894-1923
ADVERTISEMENT OF CANCELLING OR SUSPENSION
Notice is hereby given
that the Registrar of Friendly Societies has, pursuant to “ The Friendly
Societies Act 1894-1923 ,” sec.
10, by writing under his hand, dated the day of ,
19 , cancelled [or suspended for ] the registry of the
society known as , register No. , held at on
the ground following, that is to say: —
The society (subject
to the right of appeal given by the said Act) ceases to enjoy [during such
suspension] the privileges of a registered society, but without prejudice to
any liability incurred by the society, which may be enforced against it as if
such cancelling [or suspension] had not taken place.
Friendly Societies Office,
Dated this day of , 19 .
Registrar of Friendly
Societies.
Form No. 11
[Reg. 11]
Friendly Societies Act 1894-1923
NOTICE OF CHANGE OF REGISTERED ADDRESS
Name of society
Notice is hereby given
that the registered address of the above-named
society is changed from and is now
Dated this day of , 19
.
Secretary.
To the Registrar of
Friendly Societies.
Registered this day of , 19
.
[Seal and signature of Registrar.]
Form No. 12
[Reg. 12]
Friendly Societies Act 1894-1923
NOTICE OF RESOLUTION APPOINTING TRUSTEES OF SOCIETY
Name of society
At a meeting of the
above-named society, duly convened as provided by the
rules, and held the day of , 19 , it was resolved
by a majority of the members present and entitled to vote —
That
Name in full Occupation Address
be a trustee (or
trustees) of the society. [If it is not a first
appointment add in place of deceased, or resigned, or removed, as
the case may be.]
Trustee.
Trustee.
Trustee.
Trustee.
Trustee.
Secretary.
Registered Office of
Society,
Dated this day of , 19
.
Registered this day of
19 .
[Seal and signature of
Registrar.]
N.B. — This notice must be signed by the new Trustee of
Trustees and the Secretary.
Form No. 12a
[Reg. 12]
Friendly Societies Act 1894-1923
NOTICE OF RESOLUTION APPOINTING SECRETARY OF SOCIETY
Name of society
Place of regular
meetings
To the Registrar of
Friendly Societies
At a meeting of the
above-named society, duly convened as provided by the
rules, held the day of , 19 , it was
resolved by a majority of the members present and entitled to vote,
That*
Address
Occupation
be the secretary of
such society in place of *
The above-named
officer is not a trustee of the said society, and he is secured in accordance
with the above-named Act in the following manner and
amount: —
Manner secured by the** guarantee society, or
by ***
Amount of security,
£
****
Trustee of above-named Society.
****
Secretary of above-named Society.
Dated this day of , 19
.
Registered this ***** day of
, 19 .
Registrar of Friendly
Societies.
* State name in full,
address, and occupation of new secretary.
* State name in full
of the retiring officer, and whether deceased, resigned, removed, or retired.
** State name of
guarantee society.
*** If secured
otherwise, state the manner.
**** Ordinary
signature.
***** Leave this part
for the Registrar.
Form No. 12b
[Reg. 12]
Friendly Societies Act 1894-1923
NOTICE OF RESOLUTION APPOINTING TREASURER OF SOCIETY
Name of society
Place of regular
meetings
To the Registrar of Friendly Societies.
At a meeting of the
above-named society, duly convened as provided by the
rules, held the day of , 19 , it
was resolved by a majority of the members present and entitled to vote,
That*
Address
Occupation
be the treasurer of
such society in place of *
The above-named
officer is not a trustee of the said society, and he is secured in accordance
with the above-named Act in the following manner and
amount: —
Manner secured by the** guarantee society, or
by ***
Amount of security,
£
****
Secretary of above-named Society.
Dated this day of , 19
.
Registered this ***** day of
, 19 .
Registrar of Friendly Societies.
* State name in full,
address, and occupation of new treasurer.
* State name in full
of the retiring officer, and whether deceased, resigned, removed, or retired.
** State name of
guarantee society.
*** If secured
otherwise, state the manner.
**** Ordinary
signature.
***** Leave this part
for the Registrar.
Form No. 13
[Reg. 13]
Friendly Societies Act 1894-1923
FORM OF NOMINATION, REVOCATION, AND VARIATION
(1) Nomination
Branch of the Friendly Society, registered
pursuant to the “ Friendly Societies Act ,” I hereby nominate
, of , in the State of Western Australia, to receive the money
payable at my death under the rules of the branch and society above named.
Signature.
Dated this day of , 19
.
Signature of Witness.
(2) Revocation
I hereby revoke the
above nomination.
Signature.
Dated this day of , 19
.
Signature of Witness.
(3) Variation
I hereby vary the
above nomination as follows: —
I nominate , of
, in the State of Western Australia, to receive the money payable at my death
as aforesaid, in lieu of the above named.
Signature.
Dated this day of , 19
.
Signature of Witness.
Form No. 14
[Reg. 16]
Friendly Societies Act 1894-1923
REFERENCE OF A DISPUTE TO THE REGISTRAR
Dispute between and [an
officer of] the society known as
The above parties, by
consent, refer the dispute between them to the Registrar of Friendly
Societies.
The said states as
follows: —
(1) That he is a member [or claims through a member, or
under the rules] of the said society.
(2) That he claims to
be entitled as follows [give particulars of claim]: —
(3) That the claim is
proposed to be supported by the evidence of the following witnesses, and by
the production of the following books and documents: —
The said as an officer [or as trustees] of the
said society states [or state] as follows: —
(1) That he [or the society] disputes the claim of the said on
the following grounds: —
(2) That his case [ or
the case of the society] is proposed to be supported by the evidence of the
following witnesses, and by the production of the following books and
documents: —
Signature of the
claimant
Address of claimant
Signature of the
officer or signatures of the trustees
Registered Office,
Dated this day of , 19
.
Form No. 15
[Reg. 18]
Friendly Societies Act 1894-1923
NOTICE AND REQUISITION BY REGISTRAR
IN A DISPUTE
Dispute between and [ an
officer of] the society known as
To
Take notice that I
shall proceed to hear and determine the matter in dispute, which has been
referred to me, pursuant to the above-named Act, on
the
day of next, at o'clock in the noon, at
and that I shall require the attendance there of all parties concerned, and of
the witnesses named, and the production of the books and documents specified
in the statement made by you in the reference of the dispute.
Registrar of Friendly
Societies.
Dated this day of , 19
.
Form No. 16
[Reg. 19]
Friendly Societies Act 1894-1923
SPECIAL REQUISITION TO WITNESS
Dispute between and [ an
officer of] the society known as
To
Pursuant to
Section 22 of the above-named Act, you are required to
attend at on the day of next,
at o'clock in the noon, to give evidence relating to the matter in
question, and to produce the following books and documents: —
Registrar of Friendly
Societies.
Dated this day of , 19
.
N.B. — If you do not comply with this requisition you will be
guilty of an offence under the above-named Act and become liable to a penalty.
Form No. 17
[Reg. 20]
Friendly Societies Act 1894-1923
ORDER FOR DISCOVERY
In the matter of a dispute between and [
an officer of] the society known as referred to
me pursuant to the above-named Act.
I, Registrar of Friendly Societies, order and direct
as follows: —
(1) That within
fourteen days from the service of this order do deposit at my office [ state
where ] for inspection by the parties the following documents [ state
documents ]: —
(2) That on the day of next, at
o'clock in the noon [an officer of the society*]
do appear before me, at my office above-named, and make discovery upon oath of
all things within his knowledge [as such officer*] relative to the following
matters [ state the matters as to which discovery is granted
]: —
Given under my hand this day of
, 19 .
Registrar of Friendly
Societies.
* These words will be
omitted if the discovery is to be made by the other party to the dispute.
Form No. 18
[Reg. 21]
Friendly Societies Act 1894-1923
DETERMINATION AND ORDER
In the matter of a dispute between and [
officer of] the society known as , referred to
me pursuant to the above-named Act.
I, Registrar of Friendly
Societies, determine as follows: —
Particulars of Registrar's determination .]
The expenses hereof
are ordered to be paid out of the funds of the Society ( or as the case may be
).
Given under my hand this day of
, 19 .
Registrar of Friendly
Societies.
N.B. — Application for the enforcement of this order may be
made to any two or more justices of the peace in the district wherein the
parties to the dispute or any of them reside.
Form No. 19
[Reg. 22]
Friendly Societies Act 1894-1923
APPLICATION UNDER SPECIAL POWERS OF REGISTRAR
Name of Society
Application made
pursuant to Section 23 of the above-named Act.
1. The above-named society has members.
2. This application is signed by members.
3. The application is
that the Registrar may appoint inspectors [ or may call a special meeting]
pursuant to the said section.
4. The grounds of the
application are as follows [ state the grounds fully ]: —
5. The applicants are
prepared to support the application by the following evidence, for the purpose
of showing that they have good reason for making the application, and are not
actuated by malicious motives in doing so, viz., by a
statutory declaration annexed hereto by [state names]
three of the present applicants, and [ here state the nature of the evidence
proposed to be given ]: —
6. The applicants are
prepared, if required, to give security for costs to
the extent of [state amount].
Signature of
applicants.*
Address to which
communications are to be sent.
Dated this day of , 19
.
* Signature by mark
must be attested by some one not an applicant.
Form No. 20
[Reg. 22]
Friendly Societies Act 1894-1923
DECLARATION IN SUPPORT OF APPLICATION UNDER SPECIAL POWERS OF REGISTRAR
Name of Society
We, three of the
members of the above-named society, do solemnly and sincerely declare that the
persons whose signatures are appended to the application, a copy of which is
hereunto annexed, are to the best of our knowledge and belief bona fide
members of the society, and that we are not, nor to the best of our knowledge
and belief is any person whose signature is appended to such application,
actuated by malicious motives, and that to the best of our knowledge and
belief there is good reason for making such application.
And we make, etc.
Form No. 21
[Reg. 24]
Friendly Societies Act 1894-1923
APPOINTMENT OF INSPECTORS
Name of Society
Register No.
Pursuant to
Section 23 of the above-named Act I hereby appoint
[and ] inspector [or inspectors] to examine into the
affairs of the above-named society, and to report thereon.
One copy of the
application for inspection is sent herewith for the guidance of the inspector
[ or inspectors].
He [ or they] may
require the production of all or any of the books and documents of the
society, and may examine on oath its officers, members, agents, and servants
in relation to its business, and may administer such oath accordingly.
This inspection is to commence on the day of
next at o'clock in the noon, and is to be held at
Registrar of Friendly Societies.
Dated this day of , 19
.
Form No. 22
[Reg. 25]
Friendly Societies Act 1894-1923
NOTICE OF A SPECIAL MEETING TO BE HELD BY THE REGISTRAR'S DIRECTION
Name of Society
Register No.
Notice is hereby given
that a special meeting of the above-named society will be held by direction of
the Registrar, pursuant to Section 23 of the
above-named Act, on , the day of
next, at o'clock in the noon, at , which
meeting shall appoint its own chairman, and shall then proceed to discuss and
determine on the following matters [ state them ]: —
Registrar of Friendly
Societies.
Dated this day of , 19
.
Form No. 23
[Reg. 27]
Friendly Societies Act 1894-1923
APPLICATION FOR APPROVAL OF CHANGE OF NAME, AND REGISTRY OF SPECIAL
RESOLUTION
Name already
registered
To the Registrar of Friendly Societies.
Application for
approval of a change of name of the above-mentioned society, and for registry
of a special resolution to that effect is made by the persons whose names are
subscribed at the foot hereof.
The following is a
copy of a special resolution passed by the votes of three-fourths of the
members present and entitled to vote at a general meeting of the society [ add
some being present by proxy where the rules allow
proxies] of which notice was duly given, held on the day of
, 19 , and confirmed by a majority of the members present and entitled to
vote at a subsequent general meeting [ add some being present by proxy where
the rules allow proxies ] of which notice was duly given, held on
the day of , 19 , pursuant to
Section 24 of the above-named Act.
[ The resolution to be copied at length .]
Chairman of the first
general meeting.
Secretary.
Chairman of the
subsequent general meeting.
Registered Office,
Dated this day of , 19
.
Form No. 24
[Regs. 27, 28, 29, 30]
Friendly Societies Act 1984-1923
DECLARATION OF OFFICER TO ACCOMPANY APPLICATION FOR REGISTRY OF SPECIAL
RESOLUTION
Name of Society
I, of , an
officer of the above-named society, do solemnly and sincerely declare that the
statements in the annexed application are, to the best of my knowledge and
belief, true, and that in making the special resolution mentioned in such
application the provisions of Section 24 of the above-named Act have been
duly complied with: And in particular that notice of the meeting held at
the day of , 19 , at which the special
resolution, application for registry of which is appended to this declaration,
was passed, was duly given according to the rules of the above-named society
in manner following, that is to say: —
And that notice of the meeting held at the
day of , 19 , at which such special resolution was confirmed,
was duly given according to the rules of the above-named society in manner
following, that is to say: —
And I make, etc.
N.B. — In the case of an amalgamation with a society, the
declaration must be made by the secretary of each society.
Form No. 25
[Regs. 27, 28, 29 30]
Friendly Societies Ac t 1894-1923
DECLARATION OF CHAIRMAN OF GENERAL MEETING TO ACCOMPANY APPLICATION FOR
REGISTRY OF SPECIAL RESOLUTION
Name of Society
I, of , do
solemnly and sincerely declare that I was the chairman of a general meeting of
the above-named society held at on the day of
, 19 , at the hour of in the noon, at which
meeting members were present personally [ and members, in
addition, were present by proxy], and the resolution, application for registry
of which is appended to this declaration, was carried [ or confirmed] by a
majority of members; members voting in favour of it, and
members voting against it [ or unanimously].
And I make, etc.
Form No. 26
[Reg. 28]
Friendly Societies Act 1894-1923
APPLICATION FOR REGISTRY OF A SPECIAL RESOLUTION FOR AMALGAMATION OF
SOCIETIES
Name of Society*
Name of Society
[ And so on if more than two. ]
To the Registrar of Friendly Societies.
Application for
registry of a special resolution for the amalgamation of the above-mentioned
societies is made by the persons whose names are subscribed at the foot
hereof.
1. The following is a
copy of a special resolution passed by the votes of three-fourths of the
members present and entitled to vote at a general meeting of the first-named
society [ add , some being present by proxy where the rules allow proxies ] of
which notice was duly given, held on the
day of , 19 , and confirmed by a majority of the members present
and entitled to vote at a subsequent general meeting [ add some being present
by proxy where the rules allow proxies ] of which notice was duly
given, held on the day of , 19 , pursuant to
Section 24 of the above-named Act: —
[ The resolution to be copied at length. ]
2. The number of votes
[ see Section 24, proviso (a) ] to which all the members of the
first-named society are entitled, pursuant to
Section 25 (7) of the above-named act, is , the number of votes
of the members who assented at the said meeting is , and the
written consents of members entitled to votes, and of every
person for the time being receiving or entitled to any relief or other
benefits from the funds of the society, are appended hereto, except the
consents of whose claims have been duly satisfied or have been provided for [
state in what manner such provision has been made ].
Chairman of the first
general meeting.
Secretary of the
first-named society.
Chairman of the
subsequent general meeting.
Registered office of
the first-named society.
Dated this day of , 19
.
* In the copies of
this application by each society, its own name should appear first.
Form No. 27
[Reg. 29]
Friendly Societies Act 1894-1923
APPLICATION FOR REGISTRY OF A SPECIAL RESOLUTION FOR A TRANSFER OF
ENGAGEMENTS
Name of society
transferring its engagements ( a )
Name of society
undertaking to fulfil transferred engagements ( b )
To the Registrar of Friendly Societies.
Application for
registry of a special resolution for transfer of engagements of the
above-named (a) society is made by the persons whose names are subscribed
hereto.
1. The following is a
copy of a special resolution passed by the votes of three-fourths of the
members present and entitled to vote at a general meeting of such (a) society
[ add , some being present by proxy where the rules
allow proxies], of which notice was duly given, held at the
day of , 19 , and confirmed by a majority of the members
present and entitled to vote at a subsequent general meeting [ add , some
being present by proxy where the rules allow proxies ], of which notice
was duly given, held at on the day of 19
: —
[ The resolution to be copied at length. ]
2. The number of votes
[ see section 24, proviso (a) ] to which all the members of the
first-named (a) society are entitled pursuant to
section 25 (7) of the above-named Act is ; the number of votes
of the members who assented at the said meeting is ; and the
written consents of members entitled to votes, and of every
person for the time being receiving or entitled to any relief or other benefit
from the funds of the society, are appended hereto, except the consents of ,
whose claims have been duly satisfied or have been provided for [ state in
what manner such provision has been made ].
3. The above-named ( b
) society has [ state in what manner ] undertaken to fulfil the engagements of
the above-named ( a ) society, as testified by the signatures of the trustees
and secretary of the said ( b ) society to this application, and by the
declaration of the secretary of the same sent with this application.
{Chairman of the first
general meeting.
Secretary of the ( a )
society.
{Chairman of the
second general meeting.
Trustee of the ( b )
society.
Secretary of the ( b )
society.
Registered Office of (
a ) society.
Dated this day of , 19
.
Form No. 28
[Reg. 29]
Friendly Societies Act 1894-1923
DECLARATION BY SECRETARY OF SOCIETY ACCEPTING TRANSFER OF ENGAGEMENTS
Name of society
I, , of ,
secretary of the above-named society, do solemnly and sincerely declare that
by
a resolution of a meeting of the society, held on the day of
, 19 , at [or as the case may be, stating by what authority
the transfer is accepted ], the society has undertaken to fulfil all the
engagements of the society known as
And I make, etc.
Form No. 29
[Reg. 29]
Friendly Societies Act 1894-1923
DECLARATION BY SECRETARY OF COMPANY AGREEING TO AMALGAMATION OR TRANSFER
Name of company
I, , of ,
secretary of the above-named company, do solemnly and sincerely declare that,
by a resolution of a special general meeting of the company, held on the
day of , 19 , at [or as the case may be,
stating by what authority the amalgamation is agreed to, or the
transfer of engagements accepted ], the company has agreed to an amalgamation
with [ or undertake to fulfil all the engagements of] the society known as
And I make, etc.
Form No. 30
[Reg. 30]
Friendly S o cieties Act 1894-1923
APPLICATION FOR REGISTRY OF A SPECIAL RESOLUTION FOR CONVERSION INTO
A COMPANY
Name of society
To the Registrar of Friendly Societies.
Application for
registry of a special resolution for conversion of the above-named society
into a company is made by the persons whose names are subscribed at the foot
hereof.
The following is a
copy of a special resolution passed by the votes of three-fourths of the
members present and entitled to vote at a general meeting of the said society
[ add , some being present by proxy, where the rules allow proxies ], of which
notice was duly given, held on the
day of , 19 , and confirmed by a
majority of the members present and entitled to vote at a subsequent general
meeting [ add , some being present by proxy, where the rules allow
proxies], of which notice was duly given, held on the day of
, 19 , pursuant to section 24 of the above-named Act.
[ The resolution to be copied at length. ]
{Chairman of the first
general meeting.
Secretary.
Chairman of the
subsequent general meeting.
Registered Office,
Dated this day of , 19
.
Form No. 31
[Reg. 33]
Friendly Societies Act 1894-1923
INSTRUMENT OF DISSOLUTION
Name of society
Instrument of
dissolution of the made the
day of , 19 , pursuant to the Friendly
Societies Act, 1894-1923 , sec. 25, and signed by five-sixths in value of the
members (including honorary members, if any ) and by every person for the time
being receiving or entitled to receive any relief or other benefit from the
funds of the society [except whose claims have been duly
satisfied, or have been provided for ( state in what manner such provision has
been made). ]
It is agreed and
declared as follows: —
(1) The liabilities of
the society are as follows [ here set them out in detail ]: —
(2) The assets of the
society are the following [ here set them out in detail ]: —
(3) The number of
members is
(4) The nature of the
interests of the members is as follows: —
(5) The society has no
creditors other than the members [ or the society has, besides its members,
the following creditors, to each of whom is owing the amount set opposite his
name, amounting on the whole to ( set out list of creditors and amounts owing
to them ). Provision has been made for the payment of such creditors in manner
following ( here set out provision )]: —
(6) The funds and
property of the society shall be appropriated and divided in the following
manner [ or in such manner as the Registrar may award ( see Regulation
No. 39 )]: —
[ Here insert any
other provisions the society desires to insert as to the dissolution .]
Signature of members
Number of Votes of each member
Signatures of persons
receiving or entitled to receive any relief or other benefit from the funds of
the society.
Schedule
List of members who have not signed
No. of votes of each
the foregoing instrument
N.B. — All signatures by marks only must be attested by a
witness who does not sign as a member.
Form No. 32
[Reg. 33]
Friendly So c ietie s Act 1894 -1923
DECLARATION TO ACCOMPANY INSTRUMENT OF DISSOLUTION
Name of society
We, , of , and
, of , and , of
, one of the trustees [ or three members] and the secretary respectively of
the above-named society, do solemnly and sincerely declare that the facts
alleged or recited in the instrument of dissolution [ or the alteration of the
instrument of dissolution] appended to this declaration and the schedule
thereto are, to the best of our knowledge and belief, true; and in making the
said instrument the provisions of the Act have been complied with.
And we make, etc.
Form No. 33
[Reg. 33]
Friendly Societies Act 1894-1923
STATEMENT TO ACCOMPANY INSTRUMENT OF DISSOLUTION
Name of society
The Registrar of
Friendly Societies is hereby informed that it is desired by the members whose
names are subscribed at the foot hereof that notice of dissolution of the
above-named society be published in the [ naming some newspaper ] circulating
in the locality in which the registered office of the society is situated.
The sum of , being the cost of publishing such notice in
the said newspaper, and the further sum of , being the cost of
publishing the same in the Government Gazette , are herewith transmitted to
the Registrar.
[ Signatures of
members. ]*
Registered office.
Dated this day of , 19
.
* Any signature by
mark only must be attested by a witness who does not sign as a member.
Form No. 34
[Reg. 34]
Friendly Societies Act 1894-1923
ACKNOWLEDGMENT OF REGISTRY OF INSTRUMENT OF DISSOLUTION
Name of society
Register No.
The foregoing
instrument of dissolution [ or alteration of
instrument of dissolution] of the society known as , register No.
, is registered under the Friendly Societies Act, 1894-1923 .
Given under my hand this day of
, 19 .
Registrar of Friendly
Societies.
Form No. 35
[Reg. 36]
Friendly Societies Act 1894-1923
ADVERTISEMENT OF DISSOLUTION BY INSTRUMENT
Notice is hereby given that the society known as , register
No. , held at , is dissolved by instrument registered at this
office the day of , 19 , unless within three
months from the date of the Gazette in which this advertisement appears
proceedings be commenced by some member or other person interested in or
having any claim on the funds of the society, to set aside such dissolution,
and the same be set aside accordingly.
Registrar of Friendly Societies.
Dated this day of , 19
.
Form No. 36
[Reg. 37]
Friendly Societies Act 1894-1923
APPLICATION TO THE REGISTRAR FOR AN AWARD OF DISSOLUTION
Name of society
To the Registrar of Friendly Societies.
Application for an
award of dissolution of the above-named society is made by the members whose
names are subscribed at the foot hereof.
1. The society consists of members , of whom
have signed this application.
2. The funds of the
society are insufficient to meet the existing claims thereon [ or the rates of
contribution fixed in the rules of the society added to the funds invested or
otherwise possessed by the society are insufficient to cover the benefits
assured].
3. The grounds upon
which such insufficiency is alleged are as follow [ state grounds
]: —
4. The Registrar is
hereby requested to make, or cause to be made, pursuant to the Friendly
Societies Act, 1894-1923 , section 25, an investigation into the affairs
of the society, with a view to the solution thereof.
5. It is desired that
notice of the award of dissolution be published in
the [naming some newspaper], circulating in the locality in
which the registered office of the society is situated.
6. The sum of , being the cost of publishing such notice in
the said newspaper, and the further sum of , being the cost of
publishing the same in the Government Gazette , are herewith transmitted.
[ Signatures of members. ]*
Registered office,
Dated this day of , 19
.
* Any signature by
mark only must be attested by a witness who does not sign as a member
Form No. 37
[Reg. 38]
Friendly Societies Act 1894-1923
NOTICE OF INVESTIGATION
Name of society
Register No.
Notice is hereby given
that the Registrar of Friendly Societies will
proceed by himself [or by actuary or public
auditor, whom such Registrar hereby appoints for the purpose] to investigate
the affairs of the above-named society, in compliance with an application in
that behalf made, pursuant to section 25 of the above-named Act, on
the day of , 19 , at o'clock in the
noon, at
Registrar of Friendly
Societies.
Registered Address of
Society
Dated this day of , 19
.
[ To be addressed to the society at its registered office. ]
Form No. 38
[Reg. 38]
Friendly S o cieties Act 1894-1923
AWARD OF DISSOLUTION
Name of society
Register No.
Pursuant to
section 25 of the above-named Act I hereby award that
the society shall be dissolved and its affairs wound up as
from the day of , 19 , and I direct that the
assets of the said society shall be divided and appropriated in the following
manner: —
Registrar of Friendly
Societies.
Registered Address of
Society
Dated this day of , 19
.
Form No. 39
[Reg. 39]
Friendly Societies Act 1894-1923
AWARD FOR DISTRIBUTION
Name of society
Register No.
Pursuant to
section 25 of the above-named Act, and to the instrument of dissolution
of the above-named society, registered on the
day of , 19 , I hereby award and direct that the assets of
the society shall be divided and appropriated in the following
manner: —
Registrar of Friendly
Societies.
Registered Address of
Society
Dated this day of , 19
.
Form No. 40
[Reg. 40]
Friendly Societies Act 1894-1923
ADVERTISEMENT OF DISSOLUTION BY AWARD
Notice is hereby given that on the day of
the Registrar of Friendly Societies signed an award for the dissolution of the
society known as , registered No. , held at ,
and that such society is thereby dissolved, unless within three months from
the date of the Gazette in which this advertisement appears proceedings be
commenced by a member or other person interested in or having any claim on the
funds of the society to set aside such dissolution, and the same be set aside
accordingly.
Registrar of Friendly
Societies.
Dated this day of , 19
.
Form No. 41
[Regs. 43, 45]
Friendly Societies Act 1894-1923
NOTICE OF ESTABLISHMENT AND APPLICATION FOR REGISTRATION OF BRANCH*
Name of society
To the Registrar of Friendly Societies.
1. Application is made
for the registration of a branch of the above-mentioned society.
2. The branch has been established at and is called
[ if the branch was formerly a registered society state the name it then held
].
3. The branch is [ or
is not] to have trustees [ or officers, I any other than the trustees to sue
and be sued on its behalf] other than those of the society. [ If so add, and
the following names of such trustees or officers] ( describing them
): —
4. The rules of the
branch are [ or are not] identical with those of the other branches of the
society. [ If not so add , and an application for the registry of the same in
Form A, with two copies of the rules of the branch, duly signed, are sent
herewith.]
5. The rules of the society, Nos. , contain provisions
sufficient for the government of its branches.
Secretary of the Society.
Registered Office of
the Society,
Dated this day of , 19
.
* This form may be
adapted, by authority of the Registrar, so as to include any number of
branches.
Form No. 42
[Reg. 48]
Friendly Societies Act 1894-1923
NOTICE OF RESOLUTION APPOINTING
BRANCH TRUSTEES
Name of society
Name and place of
branch
To the Registrar of Friendly Societies.
At a meeting of the
above-named branch of the above-named society, duly
convened as provided by the rules, held the day of ,
19 , it was resolved by a majority of the members present and entitled to
vote,
That
Name |
Occupation |
Address |
: |
: |
: |
: |
: |
: |
: |
: |
: |
and : |
: |
: |
[ give full names,
addresses, and descriptions ], be a trustee [ or trustees] of such branch [or
officers to sue and be sued on behalf of such branch]. [ If it is not a first
appointment add, in place of deceased or resigned, or removed, as the case may
be ].
Trustee
Trustee
Trustee
Trustee
Trustee
Secretary of above-named society.
Registered office of
above-named society
[ Seal and signature of Registrar. ]
Dated this day of , 19
.
Registered this day of
, 19 .
N.B. — This notice must be signed by the new trustee or
trustees, or other officers named, and the branch secretary; also by the
secretary and one of the trustees of the society or central body.
Form No. 42a
[Reg. 48]
Friendly Societies Act 1894-1923
NOTICE OF RESOLUTION APPOINTING SECRETARY OF BRANCH
Name of Society
Name of Branch
Place of regular
meetings
To the Registrar of Friendly Societies.
At a meeting of the
above-named branch of the above-named society, duly
convened as provided by the rules, held the day of , 19
, it was resolved by a majority of the members present and entitled to vote,
That*
Address
Occupation
be the secretary of
such branch in place of *
The above-named
officer is not a trustee of the said branch of the said society, and he is
secured in accordance with the above-named Act in the following manner and
amount: —
Manner secured by the** guarantee society,
or by ***
Amount of security,
£
****
Secretary of above-named Society.
Dated this day of , 19
.
Registered this***** day of
, 19 .
Registrar of Friendly Societies.
* State name in full,
address, and occupation of new secretary.
* State name in full
of the retiring officer, and whether deceased, resigned, removed, or retired.
** State name of
guarantee society.
*** If secured
otherwise, state the manner.
**** Ordinary
signature.
***** Leave this part
for the Registrar.
Form No. 42b
[Reg. 48]
Friendly Societies Act 1894-1923
NOTICE OF RESOLUTION APPOINTING TREASURER OF BRANCH
Name of Society
Name of Branch
Place of regular
meetings
To the Registrar of Friendly Societies.
At a meeting of the
above-named branch of the above-named society, duly
convened as provided by the rules, held the day of , 19
, it was resolved by a majority of the members present and entitled to vote,
That*
Address
Occupation
be the Treasurer of
such branch in place of *
The above-named
officer is not a trustee of the said branch of the said society, and he is
secured in accordance with the above-named Act in the following manner and
amount: —
Manner secured by the
** guarantee society, or by ***
Amount of security,
£
****
Secretary of above-named Society.
Dated this day of , 19
.
Registered this***** day of
, 19 .
Registrar of Friendly
Societies.
* State name in full,
address, and occupation of new treasurer.
* State name in full
of the retiring officer, and whether deceased, resigned, removed, or retired.
** State name of
guarantee society.
*** If secured
otherwise, state the manner.
**** Ordinary
signature.
***** Leave this part
for the Registrar.
Form No. 43
[Reg. 48]
NOTICE OF CHANGE OF REGISTERED ADDRESS OF BRANCH
To the Registrar of
Friendly Societies.
Name of society
Name of branch
Notice is hereby given
that the registered address of the above-named
branch is changed from and is now
Dated this day of , 19
.
Secretary of the society.
Registered this day of
, 19 .
[ Seal and signature of Registrar. ]
Form No. 44
[Reg. 52]
Friendly Societies Act 1894-1923
ADVERTISEMENT OF APPLICATION FOR DISPENSING WITH CONSENTS OR
CONDITIONS FOR AMALGAMATION OR TRANSFER OF ENGAGEMENTS
Notice is hereby given
that the society known as
, the registered office of which is at , desires to
amalgamate with [ or transfer all its engagements to] the society known as
[or the , a company under the Companies Act,
1893, or as the case may be]: And that on the day of
, 19 , the trustees [or committee of management] of the first named
society intend to apply to the Registrar of Friendly Societies that the
following consents and conditions prescribed by the Friendly Societies Act,
1894-1923 , for an amalgamation [ or transfer of engagements] may be dispensed
with, viz.: —
[ State what consents and conditions. ]
Trustees [ or members
of the
∗ committee of
management] of
said first-named
society.
Friendly Societies Act 1894-1923
N.B. — To be published in the Gazette one calendar month at
least before the application is made.
Form No. 45
[Reg. 53]
Friendly Societies Act 1894-1923
APPLICATION FOR DISPENSING WITH CONSENTS OR CONDITIONS FOR
AMALGAMATION OR TRANSFER OF
ENGAGEMENTS
To the Registrar of
Friendly Societies.
Name of society
Application is made by
the trustees [ or committee of management] of the above-named society for the
purpose hereinafter mentioned: —
(1) The above-named
society desires to amalgamate with [ or transfer
all its engagements to] the society known as [or the
, a company under the Companies Act, 1893 ].
(2) The trustees [ or
committee of management] of the first-named society hereby apply to the
Registrar that the following consents and conditions prescribed by the
Friendly Societies Act, 1894-1923 , for an amalgamation [ or transfer of
engagements] may be dispensed with, viz.: —
[ State consents and conditions. ]
(3) Notice of the
intention to make the present application was advertised
in the Government Gazette on the day of , 19
, being one calendar month previous to the date of this application, and a
copy of the Gazette in which such notice appears is sent herewith.
Trustees [ or members
of the
∗ committee of
management] of
said first-named
society.
Dated this day of , 19
.
Form No. 46
[Reg. 56]
Friendly Societies Act 1894-1923
APPLICATION FOR A CERTIFICATE OF
BIRTH OR DEATH
Name of society or
branch
To the Registrar
General [ or District Registrar of Births and Deaths
at
].
Application is made by
the person whose name is subscribed at the foot hereof for a certificate [ or
certificates] as follows: —
(A) For Certificate of Birth .
When and where born |
Name and Surname |
Names of parents |
Purpose for which required |
| | | |
| | | |
(B) For Certificate of Death
When and where died |
Name and Surname |
Rank or Profession |
Age at Death |
Purpose for which required |
| | | | |
| | | | |
Dated this day of , 19
.
Secretary.
N.B. — In the case of a certificate of the death of a child,
the sum of money which is sought to be obtained from the society or branch
must be stated in the fifth column of table (B); also the words prescribed by
section 37 (3) of the Friendly Societies Act require to be written by the
Registrar General or District Registrar of Deaths on or at the foot of the
certificate of the death of a child when issued under that Act.
Form No. 47
[Reg. 41]
Friendly Societies Act 1894-1923
NOTICE OF PROCEEDING TO SET ASIDE DISSOLUTION OF SOCIETY OR BRANCH
Name of society
Name of branch
Registered address of
branch
To the Registrar of Friendly Societies.
Whereas on the day of , 19 ,
the above-named society [ or the above-named branch] was dissolved [ or
purported to be dissolved] by an instrument of dissolution purporting to be
duly registered [ or by the award of the Registrar]:
I hereby give you
notice that I intend, after not less than seven days from this date hereof, to
take proceedings for setting aside such dissolution in
the Court.
Dated this day of , 19
.
Signature.
Address.
Form No. 48
[Reg. 41]
Friendly Societies Act 1894-1923
NOTICE OF ORDER TO SET ASIDE DISSOLUTION
Name of society
Name of branch
Registered address of
branch
To the Registrar of Friendly Societies.
Whereas on the day of , 19 ,
the above-named society [ or the above-named branch] was dissolved [ or
purported to be dissolved] by an instrument of dissolution purporting to be
duly registered [ or by the award of the Registrar]:
The above-named
society [ or branch] hereby gives you notice that
by an order of the Court, dated the day of
, 19 , a copy whereof is hereto annexed, the dissolution of the said society
[ or branch] was set aside.
Secretary.
Registered address.
Dated this day of , 19
.
N.B. — This notice must be sent within seven days after the
order to set aside dissolution is made, and a copy of the order must be
annexed thereto.
Form No. 49
[Regs. 72, 73, 75]
Friendly Societies Act 1894-1923
NOTICE OF ELECTION OF MEMBERS OF BOARD OF MANAGEMENT
Name of society
Name of branch
Date of registration
Place of meeting
To the Registrar of Friendly Societies.
1. At a special
meeting of the above-named branch of the above-named society, duly convened,
as required by Regulation No. 71, and held on the
day of , 19 , it was resolved, by a majority of the members
present and entitled to vote: —
That
(1) . . . . . . . . . . . . . . .
(2) . . . . . . . . .
. . . . . .
and
(3) . . . . . . . . . . . . . . .
members of the
above-named branch (society) be members of the Board of
Management of the District Friendly Societies Recreation Reserve,
situated at *
2. I hereby certify that the above names are
written in the order required by Regulation No. 72.
Dated this day of , 19
.
Secretary.
Form No. 50
[Reg. 79]
Friendly Societies Act 1894-1923
NOTICE OF ELECTION OF OFFICERS OF BOARD OF MANAGEMENT AND TRUSTEES
The Board of Management of the District Friendly
Societies Recreation Reserve, situated at
To the Registrar of Friendly Societies.
At a meeting of the above-named Board, held at on the
day of , 19 , it was resolved, by a majority of the members
present and entitled to vote, that the following persons hold the several
offices placed opposite their names, that is to say: —
That *
of be
Chairman,
”* ” ” Secretary,
”* ” ” Treasurer,
”* ” }
”* ” } ” Trustees,
and *
” }
in place of the
persons whose names appear on the Deed of Grant of the above Reserve.
Dated this day of , 19
.
Signatures of
above-named persons: —
Chairman.
Treasurer.
Trustee.
”
”
Secretary.
Signature of member
presiding.
* When the election
relates to the filling of an interim vacancy, the words “in place
of” should be here inserted, and the name of the retiring member added,
with the cause of such retirement.
** Names in full,
occupations, and addresses required. When the election relates to the filling
of an interim vacancy, the words “in place of,” and the name of
the retiring officer, should be added, with the cause of such retirement.
Form No. 51
[Reg. 89]
Friendly Societies Act 1894-1923
NOTICE OF CONSENT OF SOCIETY OR BRANCH TO MORTGAGE OF RECREATION RESERVE
Name of society
Name of branch
Date of registration
Place of meeting
At a special meeting
of the above-named branch of the above-named
society, held on the day of , 19 , it
was resolved by a majority of the members present and entitled to
vote: —
That this branch
(society) give its consent to the proposal of the Board
of Management of the District Friendly Societies Recreation
Reserve, situated at , to raise money by a mortgage on the said
Reserve, for the purpose of improving such Reserve, as
follows: —
[ State, in brief, particulars of the proposal .]
Dated this day of , 19
.
Signature of Secretary
of society or branch, as the case may be.
Form No. 52
[Reg. 89]
Friendly Societies Act 1894-1923
MEMORANDUM OF CONSENT OF BOARD AND OF SOCIETIES AND BRANCHES TO MORTGAGE OF
RECREATION RESERVE
The Board of Management of the District Friendly
Societies Recreation Reserve, situated at
To the Registrar of Friendly Societies.
1. At a meeting of the above-named Board, held at on
the day of , 19 , it was resolved by a two-thirds
majority of the members present and entitled to vote that a sum of money be
raised by mortgage of the lands held by such Board for the purpose of
improving such lands, on the following terms: —
[ State full particulars. ]
2. The number of
societies and branches represented on the Board is
, and the consent of of such societies and branches has been
obtained to the above proposal, as signified by the accompanying notices of
consent in Form No. 51 received from such societies and branches.
3. The consent of the
Board and of three-fourths in number of the societies and branches represented
thereon having been obtained to the above proposal, it is hereby requested
that the same be submitted for the approval of His Excellency the Governor.
Dated this day of , 19
.
Signature of Chairman of Board.
Signature of Secretary of Board.
Form No. 53
[Reg. 68]
Friend ly Soc i eties Ac t 1894-1923
DISCHARGE OF MORTGAGE BY A FRIENDLY SOCIETY OR BRANCH
Name of Society or
Branch in full . . . . . . . . . . . . . . .
We, . . . . . . . . .
. . . . . ., Trustees of (. . . . . . . . . . . . . . .), hereby discharge the
land described in the Schedule below from the whole of the moneys secured by
an instrument of mortgage to secure . . . . . . . . . . . . . . . and
registered in the Office of Titles and numbered . . . . . . . . . . . . . . .
Schedule
Dated the. . . . . . .
. . . . . . . . day of . . . . . . . . . . . . . .
., 192 .
Signed by the said . .
. . . . . . . . . . . . . in the presence of, —
. . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .
Note
— If the discharge is a partial one (1) on the payment of a
sum of money, or (2) without the payment of any moneys, insert immediately
after the name of the society or branch the following words: (1) “In
consideration of the payment of the sum of,” of (2) “Being
satisfied with the remaining security.”