FORMS. 
Fbiendly Societies Act, 1875, s. 14 (/). 
Valuation of tlie Assets and Liabilities of the 
as at 18 
Rettten to be made by the Secretary of the Society. 
Register No. of Society. (Add Scotland or Ireland when necessary.) 
(1.) (a.) In what occupations are the members mostly 
engaged? 
(c.) In what localities do they chiefly reside ? 
(d.) Does the society assure benefits to females ? 
If so, state what kinds of benefits are assured to 
them. 
(2.) Fill in for each of the five years preceding the date 
of valuation the following particulars, omitting 
shillings and pence. 
290 YALUxVTION'.