JUNE 8. THE NEW ZEALAND GAZETTE. 1863

(2.) Where Application is made without an Agent.
I [or We] hereby request that all notices, requisitions, and communications in respect of the within application may be sent to __ at __.
Dated at __, the __ day of __, 19____.
[Signature.]

[Form No. 1B.

Stamp, £1.
(Leave uncanceled.)

The Patents, Designs, and Trade-marks Act, 1911.
(To be accompanied by complete specification.)

APPLICATION FOR PATENT UNDER INTERNATIONAL AND COLONIAL ARRANGEMENTS.
I [or WE] [Here insert (in full) name, address, and calling of applicant or applicants] do hereby declare that I [or we] have made applications for protection of my [or our] invention of [Here insert title of invention] in the following countries [Here insert the name of each country, followed by the official date of the application in each respectively]; that the said invention was not in use within New Zealand by any other person or persons before the [Here insert the official date of the earliest foreign application] to the best of my [or our] knowledge, information, and belief; and I [or we] humbly pray that a patent may be granted to me [or us] for the said invention in priority to other applicants, and that such patent shall have the date [Here insert the official date of the earliest foreign application].
[To be signed by applicant or applicants.]
[NOTE.—One of the two following forms, or a separate authorization of agent, should be signed by the applicant or applicants.]
To the Registrar of Patents, Wellington, New Zealand.

(1.) Where Application is made through an Agent.
I [or We] hereby appoint __, of __, to act as my [or our] agent in respect of the within application for a patent, and request that all notices, requisitions, and communications relating thereto may be sent to such agent at the above address.
Dated at __, the __ day of __, 19____.
[Signature.]

(2.) Where Application is made without an Agent.
I [or We] hereby request that all notices, requisitions, and communications in respect of the within application may be sent to __, at __.
Dated at __, the __ day of __, 19____.
[Signature.]

[Form No. 1C.

Stamp, 10s. if a provisional specification, £1 if a complete specification is left with application.
(Leave uncanceled.)

The Patents, Designs, and Trade-marks Act, 1911.
(To be accompanied by provisional specification, or by complete specification and copy thereof.)

APPLICATION FOR PATENT OF ADDITION.
I [or WE] [Here insert (in full) name, address, and calling of applicant or applicants] do hereby declare that I am [or we are] in possession of an invention the title of which is [Here insert title of invention]; that [In the case of more than one applicant, state here who is or are the inventor or inventors] claim[s] to be the true and first inventor[s] thereof; that the same is not in use by any other person or persons to the best of my [or our] knowledge and belief; and that the said invention is an improvement in or modification of my [or our] invention for which a patent was applied for on the __ day of __, 19, and numbered __, for which I was [or we were] the applicant[s], [or of which I am (or we are) the patentee(s)]; and I [or we] humbly pray that a patent may be granted to me [or us] for the said invention, and request that the term limited in such further patent for the duration thereof be the same as that of the original patent, or so much of that term as is unexpired.
Dated at __, the __ day of __, 19____.
[To be signed by applicant or applicants.]

[NOTE.—One of the two following forms, or a separate authorization of agent, should be signed by the applicant or applicants.]
To the Registrar of Patents, Wellington, New Zealand.

(1.) Where Application is made through an Agent.
I [or We] hereby appoint __, of __, to act as my [or our] agent in respect of the within application for a patent, and request that all notices, requisitions, and communications relating thereto may be sent to such agent at the above address.
Dated at __, the __ day of __, 19____.
[Signature.]

(2.) Where Application is made without an Agent.
I [or We] hereby request that all notices, requisitions, and communications in respect of the within application may be sent to __, at __.
Dated at __, the __ day of __, 19____.
[Signature.]

[Form No. 2.

The Patents, Designs, and Trade-marks Act, 1911.

PROVISIONAL SPECIFICATION.
[Here insert title verbally agreeing with that in the application form.]
I [or WE] [Here insert (in full) name, address, and calling of applicant or applicants as in application form] do hereby declare the nature of this invention to be as follows: [Here begin description of the nature of the invention. The continuation of the specification should be upon wide-ruled paper of the same size, on one side only, with a margin of 1½ inches on the left-hand part of the paper. The specification must be signed at the end, and dated (thus): Dated at __, the __ day of __, 19____.]

[Form No. 3.

The Patents, Designs, and Trade-marks Act, 1911.

£1 stamp if lodged after application and provisional specification.
(Leave uncanceled.)

Where provisional specification or specifications have been left, quote No. or Nos., and date or dates.
No.__
Date__

COMPLETE SPECIFICATION.
(To be furnished in duplicate—one unstamped.)
[Here insert title verbally agreeing with that in the application form.]
I [or WE] [Here insert (in full) name, address, and calling of applicant or applicants as in application form] do hereby declare the nature of this invention and in what manner the same is to be performed, to be particularly described and ascertained in and by the following statement: [Here begin full description of invention. The continuation of the specification should be upon wide-ruled paper of the same size, on one side only, with a margin of 1½ inches on the left-hand part of the paper. The completion of the description should be followed by the words—Having now particularly described and ascertained the nature of my (or our) said invention, and in what manner the same is to be performed, I (or we) declare that what I (or we) claim is—after which should be written the claim or claims numbered consecutively. The specification and the duplicate thereof must be signed at the end and dated (thus): Dated at __, the __ day of __, 19____.]

[Form No. 4.

Stamp, 10s, £1, or £1 10s.
(Leave uncanceled.)

The Patents, Designs, and Trade-marks Act, 1911.

APPLICATION FOR EXTENSION OF TIME.
I HEREBY apply for __ extension of time, from the __ day of __, 19, for __, upon the grounds following, namely, __.
The prescribed fee is enclosed.
[Signature.]
To the Registrar of Patents, Wellington, New Zealand.