New Zealand: Acts affecting Native Lands, 1886, 1888-91 and 1894-95
Schedule
Schedule.
I, the undersigned [Here insert name], being the owner of dog [or dogs], Schedule. which I apply to have registered under section two of "The Dog Registration Act Amendment Act, 1890," hereby solemnly and sincerely declare that the said dog [or dogs] now is [or are] and will be kept solely for the purpose of the herding or driving of sheep or cattle. A.B.
Witness of signature—
C.D.
Dated this day of, 189