Showing 217 items matching "registration form"
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Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: James Cook... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: James Cook Rank or Occupation: Age: 13 months Cause of Death: Dar or Ear [? text difficult to decipher] Duration of illness: 9 days Date of Death: 26th April 1872 Place of Death: Tarnagulla Place of burial: Tarnagulla Father's name: James Cook (miner) Mother's name: Jemima Cook (nee Cameron) Deceased place of birth: Tarnagulla -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: John Coombe... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: John Coombe Rank or Occupation: Miner Age: 26 years Cause of Death: not stated Duration of illness: not stated Date of Death: 6th April 1872 Place of Death: Llanelly Place of burial: Tarnagulla Father's name: Richard Coombe (miner) Mother's name: May Coombe (Prisk) Spouse: Mary Rees Issue: none Deceased place of birth: Wendron, Cornwall Lived in the Colony: 24 years -
Tarnagulla History Archive
Registration of Death form, 1871
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Julia Green... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Julia Green Age: 67 years Cause of Death: none stated Duration of illness: not stated Date of Death: 20th October 1871 Place of Death: Tarnagulla Place of burial: not stated Father's name: Thos Kelly Mother's name: Catherine Kelly Deceased place of birth: Dublin, Ireland When married: age 47 Where married: Melbourne To whom married: Wm Foster Issue: Nil -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: section... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: section missing (female) Born at: Newcastle, England Age: section missing, (at least 36+ years, based on oldest child) Cause of Death: section missing Date of Death: section missing Place of Death: section missing Date of burial: 6th August, 1872 Place of burial: Tarnagulla Father's name: David Miller Mother's name: Anne Miller Married, Place: Tasmania Age: Not known To whom: William Williams Eight children listed ages 18-36 years. -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Signor Piori... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Signor Piori Rank or Occupation: Miner Age: section missing Cause of Death: Deceased of Hart (as spelled), noted elsewhere on form 'Inquest 18th Sept' and 'Of valvular disease of the heart'. Duration of illness: Sudden death Date of Death: 17th September 1872 Place of Death: Jones Creek Place of burial: Jones Creek Father's name: not known Mother's name: not known Spouse: not known Deceased place of birth: Switzerland Lived in the Colony: 18 years -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: John Carah... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: John Carah Rank or Occupation: Miner Age: 48 years Cause of Death: Fracture of the skull Duration of illness: not stated Date of Death: 10th August 1872 Place of Death: Corfu Reef, Tarnagulla Place of burial: Tarnagulla Father's name: John Carah (miner) Mother's name: Elizabeth Carah (Thomas) Spouse: not married Issue: none stated Deceased place of birth: Crowan, Cornwall Lived in the Colony: duration not stated, locations stated: Friers Creek, Bendigo & Tarnagulla, -
Kiewa Valley Historical Society
Papers - Graham Gardner and "Back To Beauty"
... paper. "Back To Beauty' Program with registration form.... In pencil "Mrs Beryl Hazel (formerly Smith)" written on registration... (formerly Smith)" written on registration form. 2. Newspaper dated ...Graham Gardner has written many historical books and helped organise the 'Back To Beauty' in 1998 Graham was born in 1941 the first child of Jim and Ada Gardner. He lived and went to school at Bogong and moved to Mt Beauty H.E.S. in 1949 and remained there until 1954. He wrote 'Kiewa Kids' in 1998 ready for the 'Back To Beauty' 50th anniversary of public education in Mt Beauty.3 pages on two sheets with small photo of Graham on A4 paper. "Back To Beauty' Program with registration form and a "Back To Beauty" newspaper article1.Stamp on back of page 1 with Graham's address 2. In pencil "Mrs Beryl Hazel (formerly Smith)" written on registration form. 2. Newspaper dated October 10th 1998. page 71 of th The Border Mailgraham gardner, kiewa kids, back to beauty 50th anniversary -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form...Registration of Death form. Name of deceased: section... Clark Collection. Registration of Death form. Name of deceased ...A large lot of papers, including this and other birth, death and burial records, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form. Name of deceased: section missing (probably infant Francis David, known from birth form THA-2019.0811) Father of deceased: Benjamin David Mother of deceased: Rosena Henriette (?) D___ Cooper Deceased born at: Llanelly Date of burial: 3 September, 1872 Place of burial: Tarnagulla -
Clunes Museum
Pamphlet
... ' REGISTRATION FORM... 'SEMINAR SERIES 2006 PUBLIC RECORD OFFICE VICTORIA' REGISTRATION ...'SEMINAR SERIES 2006 PUBLIC RECORD OFFICE VICTORIA' REGISTRATION FORMlocal history, document, pamphlet, history - victorian archives centre -
Bendigo Military Museum
Administrative record - CARD, IDENTIFICATION, 5 APR 1942
... Civilian ID Card Registration Form C.R.3 for British... Davis Mickleham via Broadmeadows” Civilian ID Card Registration ...Alice Mary Davis. Possibly a sister to Neil Walton Davis. Alice is not listed as NOK to Neil. Refer Cat No 1434 re NeilCivilian ID Card Registration Form C.R.3 for British Subjects, yellow card with “OHMS and stamped at P.O.“V7, F82, 23114 Alice Mary Davis Mickleham via Broadmeadows”documents - certificates, id cards, davis -
National Vietnam Veterans Museum (NVVM)
Certificate, National Service Reg Office, 20/07/1970 12:00:00 AM
... , Commonwealth of Australia. Registration form for National Service... National Service, Commonwealth of Australia. Registration form ...Certificate of Registration from National Service, Commonwealth of Australia. Registration form for National Service. Cream coloured cardboard with black printing.Registration No. 21679753certificate, national service -
Bendigo Historical Society Inc.
Document - BERT GRAHAM COLLECTION: VICTORIAN AMATEUR SWIMMING ASSOCIATION, 1971-1981
... -81. 10 registration forms...., registrations for the years 1971-72 to 1980-81. 10 registration forms ...Documents, Bert Graham Collection, Victorian Amateur Swimming Association, registrations for the years 1971-72 to 1980-81. 10 registration forms.bendigo, clubs, victorian amateur swimming assoc.. -
National Vietnam Veterans Museum (NVVM)
Newspaper, 30 Years On
... Re august 1996 - Convention Program Registration Form... Registration Form, Guide Commerative Service Program, Concert Program ...Re august 1996 - Convention Program Registration Form, Guide Commerative Service Program, Concert Program Newspaper report in "The Advocate". Post Card 25 Sqnnewspapers, 35 squadron, welcome home parade -
National Vietnam Veterans Museum (NVVM)
Memorabilia, Memorabilia of Julian Peter McNamara
... registration form and also a small card titled, The Nine Rules..., Instructions & notes for completing registration form and also a small ...Contains 1 photograph of 4 helicopters, Julian's National Service call-up notice, Instructions & notes for completing registration form and also a small card titled, The Nine Rules for Australian Army Forces in Vietnam,vietnam war, 1961 - 1975 -- veterans -- australia, national service - australia -
Clunes Museum
Document - DOCUMENT / LEAFLET, 2001
... , Registration form to participate in the walk from Ascot to Clunes .3... to Clunes,Victoria, Australia .2 2 x page, A4, Registration form ...Material is indicative of the celebrations that attended the 150th Anniversary of Gold in Clunes. .1 Booklet, A4, Information on walk from Ascot, Victoria, Australia to Clunes,Victoria, Australia .2 2 x page, A4, Registration form to participate in the walk from Ascot to Clunes .3 Timetable and inforrmation prior to walk. Catering and Transport Requirements.1Title "Miners Walk to the Clunes diggings" 1 Jul 200115oth anniversary, miners walk, gold discovery celebration -
University of Melbourne, Burnley Campus Archives
Administrative record, The University of Melbourne, Brochures & Forms, 2000-2001
... Large 2-hole folder containing flyers, registration forms... Boulevard Richmond melbourne registration forms farm chemical users ...registration forms, farm chemical users, burnley master gardener course, short courses, turfgrass science and management, tree care, home gardener, subject evaluation, transcripts of results -
Clunes Museum
Document - FLYER, MAC TROUP MEMORIAL LECTURE
... ANNUAL. CONTAINS BIOGRAPHY OF MAC TROUP, REGISTRATION FORM... LAMP. IST ANNUAL. CONTAINS BIOGRAPHY OF MAC TROUP, REGISTRATION ...MAC TROUP DIED 1982 AND WAS A MEMBER OF STEERING COMMITTEE WHICH ESTABLISHED GRASSLAND SOCIETY.YELLOW A4 PAGE TRIFOLD. PRINTED ON BOTH SIDES. ORGANISED BY GRASSLAND SOCIETY OF VIC. "SUB CLOVER-DEVELOPMENT, DECLINE AND FUTURE" HELD 17TH MARCH 1983. LECTURER DR. CHARLES LAMP. IST ANNUAL. CONTAINS BIOGRAPHY OF MAC TROUP, REGISTRATION FORM AND DETAILS OF GRASSLAND SOCIETY.mac troup, grasslands, sub-clover, dr. charles lamb -
Port Melbourne Historical & Preservation Society
Document - DVD, Public Records Office Victoria (PROV), Masonic Hall Port Melbourne. Public Building file, 1967 - 1974
... . Plus renewal of registration forms in 1922, 1937, 1941... in Liardet St, Port Melbourne in 1917. Plus renewal of registration ...COPYRIGHT PROV Masonic Hall Port Melbourne. Public Building file. DVD containing 10 pages of images of documents to and from the Public Health Department regarding specifications and plans for the Masonic Hall in Liardet St, Port Melbourne in 1917. Plus renewal of registration forms in 1922, 1937, 1941societies clubs unions and other organisations, built environment, health - general health, masonic hall, william howe -
Ballarat Tramway Museum
Memorabilia - Event Materials, Ballarat Tramway Museum (BTM), COTMA Conference Ballarat 2000, 1/05/2006 12:00:00 AM
... Booking and Registration form for the 2000 COTMA Conference... Conferences BTM Booking and Registration form for the 2000 COTMA ...Booking and Registration form for the 2000 COTMA Conference at Ballarat from 17/11/2000 to 23/11/2000. Four pages printed on two sheets of purple paper with the COTMA and BTM logos. Gives cost of conference, where forms to be sent, travel arrangements. Images of document added 27-08-12.vtrams, tramways, cotma, conferences, btm -
Glen Eira Historical Society
Letter - GIRL GUIDES CAULFIELD
... registration form, 1st Oakleigh Girl Guides, formed 6th August 1925... of a Girl Guides registration form, 1st Oakleigh Girl Guides, formed ...This file contains 20 items: A photocopy of a Girl Guides registration form, 1st Oakleigh Girl Guides, formed 6th August 1925, with names of captains, etc. A photocopy of a Girl Guides registration form Oakleigh and Murrumbeena district, 1st Oakleigh Trinity Company, 6th August 1925, with names of captains etc. A photocopy of a Girl Guides registration form, Oakleigh and Murrumbeena district, 1st Oakleigh Holy Trinity pack, formed 6th June 1929, with names of ‘Brown Owls’. This appears to be a component of the previous company. A photocopy of a Girl Guides registration form, 1st Murrumbeena Ranger company, formed 6th June 1933. A handwritten note states it was ‘disbanded April 1938.’ A photocopy of a Girl Guides registration form, 1st Murrumbeena Brownie Pack, formed 29th March 1930, with names of Brown Owls, etc. A photocopy from Matilda, December 1925, ‘Mrs. Maloprop’s Account of the Hamilton District Rally.’ Also lists of appointments as District Commissioners. A photocopy from Matilda March 1929, account of ‘Interstate Camp 1928/29.’ A photocopy from Matilda, September 1929, of ‘Imperial Headquarters Building Fund,’ etc. Handwritten letter (undated) from Meriel Hunt, Vic. Archivist to Mrs Ascup and (separately) Goula Astrup, ‘These are all the Rangers Units I could find.’ A photocopied cut-out (12 pages) of lists of Girl Guides Divisions and their officers in the South-Eastern Suburbs region. Includes 1945/46, 1947/48, 1948/49, 1949/50, 1950/51, 1951/52, 1952/53, 1953/54, 1955, 1956, 1957, 1958, 1959, 1960, 1961, 1962, 1963, 1964, 19654. Handwritten letter (2 pages, undated) from Irene to Goula concerning the Girl Guides’ records of companies formed after 1945. Handwritten list (two pages, undated) of Caulfield Girl Guides packs (7 packs) with dates of formation and officers. Date of formation range from 1957 to 1986. Handwritten list (one page, undated) of Carnegie Girl Guides Parks (two packs), with dates of formation and officers. Handwritten list (one page, undated) of Carnegie Girl Guides companies (3 companies) with dates of formation and officers Handwritten list (one page, undated) of Elsternwick Girl Guides Companies (one existing company, 2 previous companies), with officers. Handwritten list (undated), of Caulfield Division, Girl Guides’ Companies (6 Companies), with list of officers. Handwritten list (undated) of Girl Guides’ Ranger Units formed since 1945. Typewritten list (photocopy) of Queens Guides (by name if individual) in Caulfield, Murrumbeena,m Carnigie, and Elsternwick. Photocopied cut-outs (19 pages) of lists of Division and their officer bearers in South-Eastern Region of the Girl Guides. Includes 1967, 1968, 1969, 1970, 1971, 1972, 1973, 1974, 1975, 1976, 1977, 1978, 1979, 1980, 1981, 1982, 1983, 1984, 1985, 1986, 1987, 1988. 61st Annual Report Girl Guides Association of Victoria, 1986/87, 18 page printed booklet. 62nd Annual Report, Girl Guide of Victoria, 1987/88, 18 page printed booklet.girl guides, caulfield, murrumbeena, elsternwick, guide groups -
Bendigo Military Museum
Administrative record - CERTIFICATE, 9.11.15
... "Registration of Birth" form re Kingsley William Allen... "Registration of Birth" form re Kingsley William Allen, born Horsham ...Form relates to Kingsley William Allen VX109839 2nd AIF. Parents Frederick and Ruby Allen. Refer 2192.4, 2195 for service history also 2193, 2196P."Registration of Birth" form re Kingsley William Allen, born Horsham 9.11.15. Pinkish paper with black printing with spaces for hand written details of person, form is double sided.documents, birth, certificate -
National Wool Museum
Application form, Application for registration
... Application form for registration of a corriedale flock...-and-the-bellarine-peninsula Application form for registration ...Application form for registration of a corriedale flock with the Australasian (Lincoln Merino) Corriedale Society.corriedale sheep sheep breeding, australian corriedale association australasian (lincoln-merino) corriedale society, pettitt, mr r. w., corriedale sheep, sheep breeding -
Eltham District Historical Society Inc
Letter, Nillumbik Shire Council regarding the Nillumbik Festival for 1995, 11 September 1995, 1995
... and general notes on stall sites and Registration form The Nillumbik... and general notes on stall sites and Registration form The Nillumbik ...Information pack advising the Nillumbik Festival has succeeded the Eltham Festival and is to be held 11-12 November 1995. Theme is "Nillumbik - Building the Future Together". Includes information on how community groups can be involved featuring the Grand Parade, Stage Performances and Sporting displays, Stalls and general notes on stall sites and Registration form The Nillumbik Festival was introduced as a replacement for the Eltham Festival following the disbandment of Eltham Shire Council in December 1994 and the creation of Nillumbik Shire Council. It was an attempt to draw away from Eltham and be more inclusive of the wider communities in Nillumbik. However other local communities had their own festivals and the concept of a Nillumbik Festival was never widely accepted by the community and it shortly reverted back to the Eltham Fesitval in 1997.A4 copy paper, 7 pages, white and pink coloured1995, application form, eltham festival, nillumbik festival, nillumbik shire council -
Glen Eira Historical Society
Pamphlet - Glen Eira Police Senior Citizens Register
... This file contains 1 item: 1/An application form... form for registration pamphlet; includes information ...This file contains 1 item: 1/An application form for registration pamphlet; includes information on eligbility service received and the mission statement.victoria police, glen eira police, glen eira, city of glen eira, aged people, caulfield police station, murrumbeena police station, hawthorn road, railway parade, caulfield, murrumbeena, aged people, voluntary workers, community service, register, social services, police, relief work, social welfare -
Bendigo Historical Society Inc.
Document - GOLDEN SQUARE P.S. LAUREL ST. 1189 COLLECTION: 125 ANNIVERSARY CELEBRATIONS ATTENDANCE FORMS
... Ten packets of Registration of Interest Forms from people... Froms Ten packets of Registration of Interest Forms from people ...Ten packets of Registration of Interest Forms from people who attended the 125 Anniversary Celebrations of the Golden Square Primary School on October 9 - 11th 1998. Forms contain names, addresses, years of attendance, some teachers names, and names of others known to the person filling out the form.education, primary, golden square laurel st p.s., golden square primary school 1189 collection - 125 anniversary celebrations attendance froms -
Port Melbourne Historical & Preservation Society
Document - Order, Mazda 626, Mazda Motor Sales, 12 Jul 1983
... has Motor car purchases, Registration & Licences Order form... Motor car purchases, Registration & Licences Order form Mazda ...The Mathews family have been in continuous ownership of 395 Howe Parade (was 8 Howe Parade until 1964 when addresses re-assigned), Port Melbourne from 1938 to the present (Sept 2019)Six folders of assorted documents relating to the life of Alan Mathews and his family. Employment documents. Folder 4 has Motor car purchases, Registration & Licences Order form Mazda Motor Sales to purchase new vehicle Mazda 626 registration AEG 758. Total price with extras $15,360. Trade-in Datsun AEG 758 for $3360transport - motor vehicles, alan mathews, commonwealth aircraft corporation, cac -
Lara RSL Sub Branch
Metal badge, RSL Badge: Life Subscriber
... to the badge upon registration as such. Forms part of a collection... registration as such. Forms part of a collection of Ronald Leslie's ...Ronald Leslie Gregory (R/22961) served in the Australian Royal Navy. Born 5th August 1921, he enlisted on the 7th March 1939, and served on the HMAS Kuttabul II. He was discharged in 1948. The LS badge stands for Life Subscriber, and is affixed to the badge upon registration as such. Forms part of a collection of Ronald Leslie's belongings that were donated to the Lara RSL in 2006.An RSL membership badge. It is pre-1960 (because it has 3 x men in the image). A white background, red ribbon, gold image of 3 x returned servce men with a blue background which says: Returned Sailors Soldiers and Airmens". There is a red crown atop the badge which says LS within which is separate and has been affixed. On front: "LS" "Returned Sailors, Soldiers, and Airmens" "Imperial Australia League" REVERSE: "J17213" "Amor Sydney"world war 2, world war two, ww2, wwii, life subscriber, rsl -
Mortlake and District Historical Society
Sign, [14/8/1937]
... or affected area. Registration forms may be obtained at the Shire Hall... or affected area. Registration forms may be obtained at the Shire Hall ...Outbreaks of poliomyelitis were common up until the 1950's when vaccine became available. The cause was not known and management was difficult - paralysis in varying degrees was the usual outcome. Public concern was high especially concerning children. One of the most significant Australians to suffer from this disease, was Alan Marshall (1902 -1984) who was born in Noorat, 15 kilometres from Mortlake. He wrote an account of his boyhood after he was struck down by the disease, in the internationally acclaimed 'I can jump puddles' (1955).Rectangular piece of calico'Shire of Mortlake. INFANTILE PARALYSIS. 1. Parents or Guardians of all children aged eighteen and under coming into the Shire of Mortlake from the Metropolitan or any other area affected with Infantile Paralysis, MUST REGISTER such children immediately either personally or by post at the Shire Hall, Mortlake. 2. Parents or Guardians of such "registered" children are requested to keep them away from all public gatherings and from all contact with other children for a period of Twenty-one days, and in the event of any illness to consult a Doctor immediately. 3. Residents of the Shire with children living in the house are requested in their own interests, not to take into their homes, or allow their children to have contact with, any "registered" child. 4. The following particulars are required upon registration:- Name, Age, Sex, Local Address, Metropolitan School, Grade, Metropolitan Address, Date of Leaving Metropolitan or affected area. Registration forms may be obtained at the Shire Hall, Mortlake, and at all Post Offices within the Shire. By Order, N.TURNBULL, Shire Secretary. MORTLAKE, 14/81937. ' -
Orbost & District Historical Society
documents, 1970's
The first Orbost Brass Band was formed in 1889. Around 1908 the town band split and the Orbost Workers' Band was formed. Eventually the two bands merged in 1913 to reform as the Orbost Municipal Band under conductorship of Charles Spink. The band continued for many years but was later disbanded and again reformed. This was to happen a number of times, the last time being in 1961 and continuing through to the late 1970's. Further info and Ref: In Times Gone By - Deborah HallThe brass bands of Orbost in their various forms provided entertainment to the Orbost community as well as benefits to the many members.Miscellaneous documents from the Orbost Municipal Band. These include; meeting notice registration cards; players list for VBL; a brief history of the band; constitution; directory of Victorian music organisations; list of attendees; attendance book-1976-1977brass-band orbost-municipal-band music entertainment -
Warrnambool and District Historical Society Inc.
Tags, Dog Registration tags, 1970s
The requirement to register dogs in Victoria commenced in the mid1860s and for most of this time has been a Local Council responsibility. Dog owners who do not register their dogs are fined. The origin of these particular dog registration tags is not known. These tags are of interest in that they are examples of the type of dog tag issued locally in the 1970s.These are five dog registration tags, circular in shape with a hole through the top for attachment to a collar. Each tag has a separate number. All the tags are made of a form of plastic. The 1977-8 tag for the City of Warrnambool is gold in colour and the Shire of Warrnambool 1977-8 tag is brown-coloured. The three Shire of Warrnambool 1978-9 tags are white and have silver-coloured printing on them. Shire of Warrnambool tags: ‘Shire of Warrnambool, 1977-8, 961, 1978-9 , 751,752,753, Dog Registration, Victoria’ City of Warrnambool tags: ‘City of Warrnambool, 685, 1977-8, Regd. Dogs, Victoria, Wellcome Product’ dog registration