S.I. No. 574/1935 - Unemployment Assistance (Qualification Certificate Regulations) (Amendment) Order, 1935.

1. NAME OF APPLICANT ............................................................ ............................................................ ...

2.

PARTICULARS OF DEPENDANTS

Name

Relationship to you

Date of Birth

If employed enter "Yes." If employed enter "No."

(a) Are the dependants wholly or mainly supported by you ?

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(b) If over 18 years of age, why are they unable to support themselves ?

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(c) If they are not your children or step-children what responsibility for them have you undertaken ?

............................................................ ................

(d) If your mother

(i) Why is she unable to support herself ?

............................................................ ................

(ii) Is her husband unable to support himself and, if so, why ?

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(e) If your father

Why is he unable to support himself ?

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( ) If orphan brothers or sisters

Why are they unable to support themselves?

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(g) Do any other persons contribute in any way to the support of any of your dependants and, if so, to what extent ?

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(h) Do all your dependants reside with you?

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2. The First Schedule to the Unemployment Assistance (Qualification Certificate Regulations) Order, 1934, is hereby amended by the deletion of the part thereof commencing with the words " Continuation of Application for a Qualification Certificate " and ending at the end of the said First Schedule, and by the substitution for such part of the corresponding part set out in the Schedule hereto.

By Order of the Minister for Industry and Commerce.

Dated this 28th day of August, 1935.

(Signed) J. J. KEANE,

Chief Employment Officer.

Department of Industry and Commerce.

SCHEDULE.

CONTINUATION OF APPLICATION FOR A QUALIFICATION CERTIFICATE.

(TO BE COMPLETED BY WOMEN APPLICANTS ONLY).

3. IF A MARRIED WOMAN

(a) Are you dependent on your husband ?

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(b) Is your husband dependent on you ?

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(c) Does your husband live with you ?

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(d) Is he unable to support himself, and, if so, why ?

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4. IF A WIDOW OR SPINSTER WITH NO DEPENDANT

(a) State the number of your Unemployment Book

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(b) State the number of contributions paid thereon

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(c) Were such contributions paid by your employer in respect of employment insurable under the Unemployment Insurance Acts ?

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I have clearly understood the above questions and to the best of my knowledge and belief all the statements made by me in this application are correct.

I, hereby, apply for a Qualification Certificate under the Unemployment Assistance Acts, 1933 and 1935.

Signature (or mark) of applicant............................................................ .............

Date............................................................ ............................................................

Signed (or mark made) in my presence............................................................ ..

Witness............................................................ ......................................................

Address............................................................ .......................................................

STATUTORY DECLARATION BY APPLICANT.

I,................................................do solemnly and sincerely declare that, to the best of my knowledge and belief all the statements which I have made in this application are true, and all the questions therein which I have answered are truly and fully answered in all respects, and I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Statutory Declarations Act, 1835.

(Signed) ............................................................ ............................................

Taken and received by me.

Dated this..............................day of...................................................193....

(Signed) ............................................................ .............................................

Peace Commissioner or Duly Authorised Officer.

STATUTORY RULES AND ORDERS. 1935. No. 574.

UNEMPLOYMENT ASSISTANCE (QUALIFICATION CERTIFICATE REGULATIONS) (AMENDMENT) ORDER, 1935.

THE UNEMPLOYMENT ASSISTANCE (QUALIFICATION CERTIFICATE REGULATIONS) (AMENDMENT) ORDER, 1935, MADE BY THE MINISTER FOR INDUSTRY AND COMMERCE ON THE 28th DAY OF AUGUST, 1935, PURSUANT TO

SECTION 7

of THE

UNEMPLOYMENT ASSISTANCE ACT, 1933

.

WHEREAS it is expedient in consequence of certain provisions of the

Unemployment Assistance (Amendment) Act, 1935

, that the regulations made by the Unemployment Assistance (Qualification Certificate Regulations) Order, 1934, be amended

NOW THEREFORE the Minister for Industry and Commerce in exercise of the powers conferred on him by sub-section (1) of

Section 7

of the

Unemployment Assistance Act, 1933

, and of every and any other power him in this behalf enabling, hereby orders as follows, that is to say :—