JUNE 13.] THE NEW ZEALAND GAZETTE 1977

[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 regulations 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.

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-mentioned 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.

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 received 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.

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

RESTORATION OF TRADE-MARK WHERE REMOVED 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.

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 REQUESTED 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 registered, and that I have accepted such assignment.

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.]

Declared at , this day of , 19 , before me—

, Justice of the Peace [or Solicitor].

[Form No. 16.

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 Register