Form No. 55.

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

I,, Registrar of the Native Land Court for the District, hereby make application under section 40 of the above-mentioned Act to have the above appeal dismissed on the ground that the appellant has [have] up to the date of making this application failed to deposit with me as such Registrar as aforesaid the amount ordered to be deposited as security for costs in respect of the above appeal, and that the time [or extended time] allowed for payment thereof has elapsed.