302 
PROSECUTION. 
PROSEOUTION.. 
Form op Statutory Declaration in support of appli 
cation to the Central Office for authority to prosecute- 
under the Friendly Societies Act, 1875. 38 & 39 Viet.. 
c. 60, s. 16 (9). 
Name of societj^ . Register No. 
I, of a member of the above-mentioned 
society do solemnly and sincerely declare (1) that, as I 
believe I shall be able to prove, of has («■)• 
(2) That the society, the trustees, and committee of manage 
ment thereof will not make or authorize to be made any 
complaint in respect of such fraud or misappropriation. 
And I make this solemn declaration, conscientiously 
believing the same to be true, and by virtue of the pro 
visions of an Act made and passed in the fifth and sixth, 
years of the reign of his late Majesty King William the 
Fourth, intituled “ An Act to repeal an Act of the present 
sessions of Parliament, intituled ‘An Act for the more 
effectual Abolition of Oaths and Affirmations taken and 
made in various Departments of the State, and to substitute 
Declarations in lieu thereof, and for the more entire Sup 
pression of voluntary and extra-judicial Oaths and Affidavits, 
and to make other provisions for the Abolition of unneces 
sary Oaths.’” 
Taken and received before me \ 
one of Her Majesty’s Jus- I 
tices of the Peace for the I 
said County of V 
at in j 
the said County, this 
day of 18 . } 
(«) [Here state the complaint, viz., “obtained possession by 
false representation or imposition of certain property of the 
society ” or “ withheld or misapplied property of the society in 
his possession,” or “ wilfully applied certain property of the 
society in his possession to purposes other than those required or 
directed in the rules of the society, and authorized by the above 
mentioned Act.”]