Form No. 56.

In the matter of "The Native Land Laws Amendment Act, 1895," and of the appeal of from the decision of the Native Land Court on [State nature of decision appealed from].

At a sitting of the Court held at, on the day of, 189, before, Esquire, Judge, and, Assessor, upon the application of the Registrar of the Native Land Court for the District, and upon proof to the satisfaction of the Court that the appellant has failed to deposit with the Registrar the sum required to be deposited as security for the costs of the said appeal under the provisions of section 85 of "The Native Land Court Act, 1894," it is ordered that the said appeal be and the same is hereby dismissed on the ground of the failure to deposit the required security as aforesaid.

As witness the hand of, Esquire, Judge, and the seal of the Court.

, Judge.

As witness my band, this twentieth day of February, one thousand eight hundred and ninety-six.