[Form No. 6.

I,
the registered proprietor of Design No.
in
Class , hereby apply that the copyright in the design in
question may be extended for a third period of five years
in accordance with the provisions of section 52 (3) of the
Patents, Designs, and Trade-marks Act, 1911.
[Signature.]
[Address.]
Dated this day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

Stamp for
treble amount
of fee on
original
application.
(Leave
uncancelled.)
In accordance with your notice of the , the pre-
scribed fee for the extension of the copyright in the Design
No. in Class , for a third period of five years is hereby
lodged.
Dated this 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 lodging the same.)

Stamp for same
amount of fee
as on
application.
(Leave
uncancelled.)
We, [Name of registered proprietor], of [Address of registered
proprietor], and [Name of assignee, &c.], of [Address of assignee,
&c.], hereby request that the name of [Name of assignee, &c.]
carrying on business as [Trade or business of assignee, &c.],
at [Business address of assignee, &c.], may be entered in the
Register of Designs as proprietor [or mortgagee, or licensee,
or as the case may be] of the Design No. in Class .
Dated this day of , 19 .
[Signature of registered proprietor.]
[Signature of assignee, &c.]
To the Registrar, Patent Office, Wellington, New Zealand.

Stamp for same
amount of fee
as on
application.
(Leave
uncancelled.)
I [or We] [Here insert name, address, and calling] hereby
request that you will enter my [our] name[s] in the Register
of Designs as proprietor [or mortgagee, or licensee, or as the
case may be] of the Design No. in Class .
I am [We are] entitled to the said design.
Accompanying this request is a statement of my [our]
case.
[Signature.]
Dated this day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 10.
The Patents, Designs, and Trade-marks Act, 1911.
FORM OF DECLARATION (TO BE FURNISHED ONLY WHEN
REQUESTED BY REGISTRAR) IN SUPPORT OF STATEMENT
OF CASE ACCOMPANYING FORM No. 9.
I, , of , do hereby solemnly and sincerely
declare that the particulars set out in the statement of case,
exhibit marked , and left by me in connection with
my request to be registered as of the Design
No. in Class , are true and comprise every material
fact and document affecting the above claim.

And I make this solemn declaration conscientiously
believing the same to be true, and by virtue of the Justices
of the Peace Act, 1908.
[Signature of the person making the declaration.]
Declared at , this day of , 19 ,
before me-[Signature and title of the authority before whom the
declaration is made].
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 11.
The Patents, Designs, and Trade-marks Act,
1911.
FORM OF APPLICATION UNDER RULE 38
TO VACATE ENTRY OF NAME OF MORT-
GAGEE OR LICENSEE IN REGISTER.
Design No. , Class .
Name of registered proprietor :
Place of business :
Description :
I, THE undersigned, , of [or I, the under-
signed, , a member of the firm of , of ,
on behalf of my said firm] apply that the entry of my [our]
name in the Register of Designs as of the Design
No. in Class may be vacated.
[Signature.]
Dated this day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 12.
The Patents, Designs, and Trade-marks Act,
1911.
APPLICATION FOR ALTERATION OF ADDRESS
OR ADDRESS FOR SERVICE, IN REGISTER
OF DESIGNS.
Design No. , registered in Class .
I, , of , the registered proprietor of the
design numbered as above, apply that my address [or my
address for service] in the Register of Designs may be altered
to .
Dated this day of , 19 .
[Signature of Proprietor.]
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 13.
The Patents, Designs, and Trade-marks Act
1911.
FORM OF REQUEST FOR CORRECTION OF
CLERICAL ERROR IN AN APPLICATION
TO REGISTER, OR FOR CORRECTION OF
CLERICAL ERROR UNDER SECTION 108.
I HEREBY request that
[Signature.]
[Address.]
Dated this day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.

[Form No. 14.
The Patents, Designs, and Trade-marks Act,
1911.
FORM OF APPLICATION BY REGISTERED
PROPRIETOR OF DESIGN TO CANCEL
ENTRY IN REGISTER.
Design No. , Class .
Name of registered proprietor :
Place of business :
Description :
I, THE undersigned, , of [or I, the under-
signed, , a member of the firm of , of ,
on behalf of my said firm] apply that the entry in the Register
of Designs of the Design No. in Class may be can-
celled [or cancelled in respect of ].
[Signature.]
Dated this day of , 19 .
To the Registrar, Patent Office, Wellington, New Zealand.