(c).  Under  what  circumstances  (if  any)  members
become  entitled  to  a  permanent  reduced  sick
allowance,  and  what  proportion  the  same
bears  to  full  pay.
(4.)  (a.)  How  are  the  management  expenses  provided  for  ?

(6.)  Fill  in  for  each  of  the  five  years  preceding  the
date  of  valuation,  the  following  particulars,  /
omitting  shillings  and  pence.

{
(5.)  When  was  the  last  valuation  made,  and  by  whom  ?

Year  Ending

Total  Receipts
on  Account  of
Management
Expenses.

Total  Payments
on  Account  of
Management
Expenses.

31  December  18

£.

£.

„  18  -
„  18  -

„  18  •

1—*
00

Total  -  -  -

Signature  of  Secretary
Registered  Office
Date  18

£65  •XOIIYMVA