1330
THE NEW ZEALAND GAZETTE.
[No. 32

I [We] do further declare that I am [we are] the owner[s] of the copyright in the said contrivance.
And I [we] make this declaration conscientiously believing the statements contained therein to be true in every particular.

[Signature of Applicant.]

Declared at __, this __ day of __, 19____,
before me—[Signature of person before whom the declaration is made].

To the Registrar of Copyright, Wellington, New Zealand.

NOTE.—Where the applicant is the assignee from the author the applicant must forward with his application each assignment or instrument by virtue of which he derives his title, with an attested copy thereof.

——
[Form F.

NEW ZEALAND.
The Copyright Act, 1913.
APPLICATION FOR REGISTRATION OF THE SOLE RIGHT TO PERFORM OR AUTHORIZE THE PERFORMANCE OF A MUSICAL OR DRAMATIC WORK.

I [WE], [Name of applicant in full], of [Address], [Occupation], hereby make application for the registration of the sole right to perform or authorize the performance of a musical [or dramatic] work entitled [Title of work in full].

I [We] do hereby declare that __ is the author of the said work, and that he has assigned the sole right to perform or authorize the performance of the said work to [Where the applicant is the assignee of the author insert me. Where there are one or more intermediate assignments, particulars of each must be inserted, e.g., A.B., who has assigned his interest to C.D., who has assigned his interest to me].

And I [we] make this declaration conscientiously believing the statements contained therein to be true in every particular.

[Signature of Applicant.]

Declared at __, this __ day of __, 19____,
before me—[Signature of person before whom the declaration is made].

To the Registrar of Copyright, Wellington, New Zealand.

NOTE.—The applicant must forward with his application each assignment or instrument through which he derives his title, with an attested copy thereof.

——
[Form G.

NEW ZEALAND.
The Copyright Act, 1913.
STATEMENT OF ADDRESS.

SIR,—
I hereby authorize and request you to send all notices, requisitions, and communications in connection with my application for the registration of the copyright in my [literary, dramatic, musical, or artistic work, or mechanical musical contrivance, as the case requires] entitled [Title of work] to [Name and address in full].

[Signature of Applicant.]

Dated this __ day of __, 19____.

To the Registrar of Copyright, Wellington, New Zealand.

NOTE.—A particular address must be given. An address such as “General Post Office, Wellington,” will not be accepted.

——
[Form H.

NEW ZEALAND.
The Copyright Act, 1913.
APPOINTMENT OF AGENT.

SIR,—
I [Name, address, and occupation of principal in full] hereby nominate, constitute, and appoint [Name of agent in full], of [Full address of agent], in New Zealand [Occupation of agent], my agent [Principal may here insert the words with full powers of substitution and revocation] for me in my name [Here insert purpose for which agent was appointed, such as to apply for and obtain] registration of my copyright in my [literary, dramatic, musical, or artistic work, or mechanical musical contrivance, as the case requires] entitled [Title of work], and for that purpose to sign on my behalf all documents that my said agent may think necessary or desirable; and I further empower my said agent to alter and amend any documents, whether originally executed by me or on my behalf, in any manner which may be necessary.

Dated this __ day of __, 19____.

[Signature of Applicant.]

Witness— __.

To the Registrar of Copyright, Wellington, New Zealand.

[Form I.

NEW ZEALAND.
The Copyright Act, 1913.
REQUEST TO ENTER NAME OF SUBSEQUENT OWNER OF COPYRIGHT UPON THE REGISTER OF COPYRIGHT.

[Place.]
[Date.]

I [Name, address, and occupation of applicant in full] hereby request that you will enter my name in the Register of Copyright as owner of the copyright in the [literary, dramatic, musical, or artistic work, or mechanical musical contrivance, as the case requires] entitled [Title of work], which was entered in the Register of [literary, dramatic, musical, or artistic, as the case requires] Copyright on the __ day of __, 19____.

I am entitled to the said copyright by virtue of [Particulars showing how transferee derives his title]. And in proof whereof I transmit the accompanying [Nature of the document], with an attested copy thereof.

Dated this __ day of __, 19____.

[Signature of person applying for registration of the transfer.]

To the Registrar of Copyright, Wellington, New Zealand.

——
[Form J

NEW ZEALAND.
The Copyright Act, 1913.
REQUEST TO ENTER NOTIFICATION OF LICENSE OR OTHER DOCUMENT IN THE REGISTER OF COPYRIGHT.

[Place.]
[Date.]

I [Name and address in full] hereby transmit an attested copy of [Description of the nature of the document] under Copyright No. [Number of the entry] which was entered in the Register of [literary, dramatic, musical, or artistic, as the case may be] Copyright on the __ day of __, 19____.

I also enclose the original document for verification, and I have to request that a notification thereof may be entered in the register.

Dated this __ day of __, 19____.

[Signature.]

To the Registrar of Copyright, Wellington, New Zealand.

——
[Form K.

NEW ZEALAND.
The Copyright Act, 1913.
APPLICATION FOR AMENDMENT OR ALTERATION OF THE REGISTER UNDER SECTION 48 OF THE ACT.

I [Name of registered owner of copyright or performing-right in full], of [Address], [Occupation], the owner of Copyright No. [Number of the entry] which was entered in the Register of [literary, dramatic, musical, or artistic, as the case may be] Copyright on the __ day of __, 19____, request that you will amend or alter the register in the following manner: [Set out desired amendment or alteration of the register].

And I do hereby declare that the error arose through the following circumstances: [Furnish particulars of the circumstances under which the error arose].

And I make this solemn declaration conscientiously believing the statements contained therein to be true in every particular.

Dated this __ day of __, 19____.

[Signature of registered owner.]

Declared before me, at __, this __ day of __, 19____.

[Signature of person before whom the declaration is made.]

To the Register of Copyright, Wellington, New Zealand.

——
[Form L.

NEW ZEALAND.
The Copyright Act, 1913.
SEARCH-WARRANT UNDER SECTION 16 (1) (a) OF THE ACT.

To Constable __, and to all other Constables of __.

WHEREAS I am satisfied by evidence that there is reasonable ground for believing that infringing copies of a [literary, dramatic, musical, or artistic, as the case requires] work, bearing the following title or description, viz. [Insert sufficient for identification purposes, the title, or a description of the literary, dramatic, musical, or artistic work], are being sold