OWNER'S AUTOGRAPH SIGNATURE AND PLEDGE.

The undersigned pledges himself by his signature to use this way-ticket according to the regulations, and when using the Stations to observe the travelling and labour regulations printed at the close of this book.

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


Observations of the Relief Station or Police Authorities regarding papers of identification, extra task work, etc. ..................................................


Issued after production of the following papers of identification:—Removal certificate, insurance receipt card, labour certificate.

(Officer to strike out the words which do not apply).

Issued in the absence of papers of identification as above, after the fulfilment of regulation 3 d, and e. (Travelling and Labour Regulations).