June 8. THE NEW ZEALAND GAZETTE. 1881

For certificate of Registrar .. £ s. d. Form to which
0 5 0 Stamp
On application— to be affixed.
Form 23.
On appeal to the Court from any 1 0 0 On notice of ap-
decision of the Registrar peal left at
Office.
On an application to the Regis- 5 0 0 On application—
trar under section 78 Form 19.
On an application to the Regis- 1 0 0 On application—
trar for leave to add to or alter Form 25.
a single mark
On an application to the Regis-
trar for leave to add to or alter
more than one mark of the
same proprietor, the addition
or alteration to be made in
each case being the same—
For the first mark .. 1 0 0 On application—
Form 25.
And for every other mark 0 10 0
For inspecting register or file in 0 1 0
connection with any particular
trade-mark
For making a search amongst the 0 1 0
classified representations of
trade-marks, for every quarter
of an hour
For office copy of documents for 0 0 3 On request.
every 72 words (but never less
than 1s.)
In cases where the wood block or
electrotype of the trade-mark
exceeds 2 inches in breadth or
depth, or in breadth and
depth—
For every inch or part of an 0 2 0 On application—
inch over 2 inches in Form 1 or 2.
breadth—
For every inch or part of an 0 2 0 On application—
inch over 2 inches in depth Form 1 or 2.
On application for extension of 0 5 0 On application
time, for each month or part for extension.
thereof

SECOND SCHEDULE.

[Form No. 1.

Stamp, 10s.
(Leave
uncancelled.)

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

APPLICATION FOR REGISTRATION OF TRADE-
MARK.

[One representation to be fixed within a square, and to be
accompanied by four additional representations. Representa-
tions of a larger size may be folded, but must then be mounted upon
linen and affixed hereto.]

APPLICATION is hereby made for registration of the accom-
panying trade-mark in Class , in respect of [Only goods
contained in one and the same class should be set out here. A
separate application form is required for each separate class]
in the name of [Here insert legibly the full name, address, and
description of the individual, firm, or company. Add trading
style (if any)], of [Address and description], trading as ,
who claim[s] to be the proprietor[s] thereof.

I [or We] do not claim the registration of this trade-mark
under the special provisions of paragraph (e) of section 64
of the Patents, Designs, and Trade-marks Act, 1911, in
regard to names, signatures, or words.

[Signature.]

Dated the day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 2.

Stamp, 10s.
(Leave
uncancelled.)

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

SPECIAL APPLICATION FOR REGISTRATION OF
TRADE-MARK UNDER SUBSECTION 1 (e),
SECTION 64.

[One representation to be fixed within a square, and to be
accompanied by four additional representations.]

APPLICATION is hereby made for registration of the accom-
panying trade-mark in Class , in respect of [Only goods
contained in one and the same class should be set out here. A
separate application form is required for each separate class] in
the name of [Here insert legibly the full name, address, and
description of the individual, firm, or company. Add trading
style (if any)], of [Address and description], trading as ,
who claim[s] to be the proprietor[s] thereof and desire[s] an
order of the Court directing registration of the same.

[Signature.]

Dated the day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 3.

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

FORM OF AUTHORIZATION.

I, , of , hereby appoint ,
of , to act as my agent for .

[Signature.]

Dated the day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 4.

Stamp, £1.
(Leave
uncancelled.)

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

NOTICE OF OPPOSITION TO APPLICATION FOR
REGISTRATION.

[To be accompanied by an unstamped
duplicate.]

In the matter of an application, No. , by ,
of .

I, [Here state full name and address], hereby give notice of my
intention to oppose the registration of the trade-mark ad-
vertised under the above number for Class in the Patent
Office Journal of the day of , 19 , No. .

The grounds of opposition are as follows :—

[Signature.]

Dated the day of , 19 .
Address for service : .
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 5.

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

FORM OF COUNTER-STATEMENT.

[To be accompanied by a duplicate.]

In the matter of an opposition, No. , to application
No. .

I, , the applicant for the above trade-mark, hereby
give notice that the following are the grounds on which I
rely as supporting my application :—

I admit the following allegations in the notice of opposi-
tion :—

[Signature.]

Dated this day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

Form No. 6.

Stamp, £1.
(Leave
uncancelled.)

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

FORM OF APPLICATION FOR HEARING BY THE
REGISTRAR IN CASES OF OPPOSITION.

SIR,—

In reply to your notice dated the , giving
, of , a date on which you will hear the
arguments in the case of opposition No. to Application
No. , I beg to say that I intend to appear before you
on the date you have fixed—namely, the day of
, 19 .

[Signature.]

To the Registrar, Patent Office, Wellington, New Zealand.