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'.