JUNE 8.] THE NEW ZEALAND GAZETTE. 1825

[Form No. 13.

Stamp, 10s.
(Leave
uncancelled.)

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

FORM OF REQUEST TO ENTER NAME OF PROPRIETOR OF PATENT OR OF AN INTEREST THEREIN UPON THE REGISTER OF PATENTS.

I [or WE] [Here insert (in full) name, address, and calling] hereby request that you will enter my [or our] name [or names] in the Register of Patents as proprietor of patent No. of , granted to [Here give name and address of person to whom patent was granted] the title of which is [Here insert title of invention].

I [or We] claim to be so entitled by virtue of [Here specify the particulars of such document, giving its date, and the parties to the same, and showing how the claim here made is substantiated]; and in proof whereof I [or we] transmit the accompanying [Here insert the nature of the document] with an attested copy thereof.

My [or Our] address for service is .

[Signature.]
[Here state in what capacity the signatory is acting.]

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 14.

Stamp, 10s.
(Leave
uncancelled.)

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

FORM OF REQUEST TO ENTER IN THE REGISTER OF PATENTS A NOTICE OF AN INTEREST IN A PATENT.

I [or WE] [Here insert (in full) name, address, and calling] hereby request that you will enter in the Register of Patents a notice of the following interest in a patent:—

I [or We] claim to be entitled [Here insert the nature of the claim, whether by way of mortgage, license, or otherwise], to an interest in patent No. of , granted to [Here give name and address of person to whom patent was granted] the title of which is [Here insert title of the invention] by virtue of [Here specify the particulars of such document, giving its date, and the parties to the same, and showing how the claim here made is substantiated].

And in proof whereof I [or we] transmit the accompanying [Here insert the nature of the document] with an attested copy thereof.

My [or Our] address for service is .

[Signature.]
[Here state in what capacity the signatory is acting.]

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 15.

Stamp, 10s.
(Leave
uncancelled.)

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

FORM OF REQUEST TO ENTER NOTIFICATION OF DOCUMENT IN THE REGISTER OF PATENTS.

I [or WE] hereby transmit an attested copy of [Here insert a description of the nature of the document, giving its date and the names and addresses of the parties thereto] under patent No. of , as well as the original document for verification, and I [or we] have to request that a notification thereof may be entered in the register.

[Signature.]
[Here insert full address of party benefiting under the document.]

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 16.

Stamp, 5s.
(Leave
uncancelled.)

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

FORM OF REQUEST FOR CORRECTION OF CLERICAL ERROR.

I [or WE] hereby request that the following clerical error[s] in the [Here state whether in application, specification, or register] No. , of , may be corrected in the manner shown in red ink in the certified copy of the original [State whether application, specification, or register] hereunto annexed.

[Signature.]
[Address in full.]

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 17.

Stamp, 5s.
(Leave
uncancelled.)

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

REQUEST FOR CERTIFICATE OF REGISTRAR.

In the matter of patent No. , of .

I [or WE], , of , hereby request you to furnish me [or us] with your certificate to the effect that [Here set out the particulars which the Registrar is requested to certify].

[Name and full address to which certificate is to be sent.]

Dated at , the day of , 19 .

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 18.

Stamp, £2.
(Leave
uncancelled.)

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

APPLICATION FOR DUPLICATE OF PATENT.

I [or WE] regret to have to inform you that the patent dated , No. , granted to for an invention the title of which is , has been [Here insert the word destroyed or lost, as the case may be, and state, in full, the circumstances of the case, which must be verified by statutory declaration].

I [or We] beg therefore to apply for the issue of a duplicate of such patent [Here state interest possessed by applicant or applicants in the patent].

Dated at , the day of , 19 .

[Signature of patentee or patentees.]

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 19.

Stamp, 10s.
(Leave
uncancelled.)

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

NOTICE OF INTENDED EXHIBITION OF AN UNPATENTED INVENTION.

I [or WE] [Here state (in full) name and address of applicant or applicants] hereby give notice of my [or our] intention to exhibit a of at the Exhibition which opened [or is to open] on the day of , 19 , under the provisions of the above-mentioned Act.

I [or We] herewith enclose a brief description of my [or our] invention. [This description of invention should be accompanied by drawings if necessary.]

[Signature.]

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 20.

Stamp, 5s.
(Leave
uncancelled.)

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

FORM OF APPLICATION FOR ENTRY OF ORDER OF COURT IN REGISTER.

I [or WE] [Here state (in full) name and address of applicant or applicants] hereby transmit an office copy of an order of the Court with reference to [Here state the purport of the order].

[Signature.]

To the Registrar of Patents, Wellington, New Zealand.

—

[Form No. 21.

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

LOCAL PATENT OFFICER’S RECEIPT.

Local Patent Office,
, New Zealand.

RECEIVED from for transmission to the Registrar of Patents, Wellington [Complete specification in respect