1882
THE NEW ZEALAND GAZETTE.
[No. 50

[Form No. 7.
The Patents, Designs, and Trade-marks Act, 1911.
NOTICE OF NON-COMPLETION OF REGISTRATION.
No. .
THE Registrar has to call your attention to section 73 of the
above-mentioned Act, and to Regulation No. 50 of the regu-
lations relating to trade-marks, in force thereunder. The
section and the regulation are printed on the back hereof.
Your application numbered as above was made on the
day of , 19 . Registration has not been completed
by reason of your default. Unless it is completed within
days from this date the application will be treated
as abandoned.
Dated this day of , 19 .
To
The Patent Office, Wellington, New Zealand.

[Form No. 8.

Stamp, £1.*
(Leave
uncancelled.)

The Patents, Designs, and Trade-marks
Act, 1911.
FEE FOR REGISTRATION OF A TRADE-MARK.
SIR,—
In reply to your request, I hereby transmit the
prescribed fee for the registration of the Trade-mark No.
in Class .
[Signature.]
Dated the day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

• If series of marks attach stamps to value of £1 for first and 5s. for each
  other mark of series.

[Form No. 9.
The Patents, Designs, and Trade-marks Act, 1911.
CERTIFICATE OF REGISTRATION UNDER SECTION 72.
To .
I HEREBY certify, pursuant to section 72 of the above-men-
tioned Act, and to Regulation No. 54 of the regulations
relating to trade-marks in force thereunder, that the trade-
mark in your application No. was duly advertised in the
Patent Office Journal,* No. , of , as set out
herein, and has been registered in your name in Class ,
in respect of the goods specified by you as of the date and
under the number of the application.
Witness my hand this day of , 19 .
[Seal of Patent Office.] , Registrar.
The Patent Office, Wellington, New Zealand.

• Insert instead “Patent Supplement to the New Zealand Gazette,”
  where advertisement has appeared in such supplement.

[Form No. 10.

Stamp, £1.*
(Leave
uncancelled.)

The Patents, Designs, and Trade-marks
Act, 1911.
RENEWAL OF REGISTRATION BEFORE NOTICE
GIVEN.
I HEREBY transmit the prescribed fee of for the
renewal of the registration of the Trade-mark No. , in
Class .
Dated the day of , 19 .
[Signature.]
To the Registrar, Patent Office, Wellington, New Zealand.
N.B.—This form must be indorsed with the name and
address of the person leaving the same.

• If a series attach £1 for first and 2s. for each other mark of series.

[Form No. 11.
The Patents, Designs, and Trade-marks Act, 1911.
FIRST NOTICE BEFORE REMOVAL OF TRADE-MARK FROM THE
REGISTER, UNDER SECTION 85.
THE Registrar hereby gives you notice that in conformity
with the provisions of section 85 of the above-mentioned
Act (printed at back hereof), your Trade-mark No. ,
registered in Class , will be removed from the Trade-
marks Register, unless the prescribed fee of is re-
ceived at this Office before the day of , 19 ,
on which date the existing registration will expire.
Dated this day of , 19 .
To
The Patent Office, Wellington, New Zealand.

[Form No. 12.
The Patents, Designs, and Trade-marks Act, 1911.
SECOND NOTICE BEFORE REMOVAL OF TRADE-MARK FROM
THE REGISTER, UNDER SECTION 85.
THE Registrar hereby gives you notice that, in conformity
with the provisions of section 85 of the above-mentioned
Act (printed at back hereof), your Trade-mark No. ,
registered in Class , will be removed from the Trade-
marks Register, unless the prescribed fee of is
received at this Office before the day of ,
19 , on which date the existing registration will expire.
If the above fee is not paid before the date above named,
the trade-mark will, after the end of one month from the
date on which the omission to pay the fee has been advertised
in the Patent Office Journal, be removed from the Trade-
marks Register, unless an additional fee of 10s. is remitted.
Dated this day of , 19 .
To
The Patent Office, Wellington, New Zealand.

[Form No. 13.

Stamp, £1.
(Leave
uncancelled.)

The Patents, Designs, and Trade-marks
Act, 1911.
RESTORATION OF TRADE-MARK WHERE RE-
MOVED FOR NON-PAYMENT OF FEE.
SIR,—
In pursuance of the notices issued by you, I hereby
transmit the additional fee of £1 for restoration to the Trade-
marks Register of the Trade-mark No. in Class .
Dated the day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.
N.B.—This form must be indorsed with the name and
address of the person transmitting the same.

[Form No. 14.

Stamp, £1,
for first mark,
and 2s. for each
of the others.
(Leave
uncancelled.)

The Patents, Designs, and Trade-marks
Act, 1911.
JOINT REQUEST BY REGISTERED PROPRIETOR
AND ASSIGNEE TO REGISTER THE ASSIGNEE
AS SUBSEQUENT PROPRIETOR OF A TRADE-
MARK.
WE [Name of registered proprietor], of [Address of registered
proprietor], and [Name of assignee], of [Address of assignee],
hereby request that the name of [Name of assignee], carrying
on business as [Trade or business of assignee], at [Address of
assignee], may be entered in the Register of Trade-marks as
proprietor of the Trade-mark No. in Class .
[Signature of Registered Proprietor.]
[Signature of Assignee.]
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 15.
The Patents, Designs, and Trade-marks Act, 1911.
FORM OF DECLARATION (TO BE FURNISHED ONLY WHEN RE-
QUESTED BY REGISTRAR) BY ASSIGNEE IN SUPPORT OF
APPLICATION TO BE REGISTERED AS PROPRIETOR OF TRADE-
MARK.
I [Name of assignee], of [Address of assignee], do hereby
solemnly and sincerely declare that the Trade-mark No.
in Class has been assigned to me by [Name of assignor],
of [Address of assignor], together with the goodwill of the
business concerned in the goods for which it has been regis-
tered, and that I have accepted such assignment.
And I make this solemn declaration conscientiously believ-
ing the same to be true, and by virtue of the Justices of the
Peace Act, 1908.
[Signature.]
Declared at , this day of , 19 ,
before me—
, Justice of the Peace [or Solicitor].

[Form No. 16.

Stamp, £1,
for first mark,
and 2s. for each
of the others.
(Leave
uncancelled.)

The Patents, Designs, and Trade-marks
Act, 1911.
REQUEST TO ENTER NAME OF SUBSEQUENT
PROPRIETOR OF TRADE-MARK UPON THE
REGISTER.
I [or WE] [Insert name and address, and description] hereby
request that you will enter my [or our] name[s] in the Registe