1332
THE NEW ZEALAND GAZETTE.
[No. 32

When and where [It is sufficient to state the country of first publication] book or printed work first published.

NOTE.—Where advantage has been taken of the provisions of the Copyright Act, 1913, as to simultaneous publication, the date and place stated should be those which entitle the work to copyright in New Zealand.

Form No. 2.
Notice relating to Copyright Works other than Books or other Printed Works.

To the Minister of Customs.
I, , of , hereby give you notice that copyright in the original work mentioned in the Schedule hereto now subsists under the Copyright Act, 1913, and that [If notice is given by the owner, insert “I am”; if given by an agent, insert name of owner and the word “is”] the owner of the copyright in the said work, and that [“I am” or “he is”] desirous that copies of the said work made out of New Zealand shall not be imported into the said New Zealand.

Dated at , this day of , 19 .
[Signature.]
[If an agent, insert “Agent of Owner.”]

SCHEDULE.
Title of work (if any) : .
Full description of work : .
Initials or marks (if any) usually placed on copies of work : .
Full name of author or authors : .
Whether author or authors alive; if not, date of death.
When and where [It is sufficient to state the country of first publication] work first published.

NOTE.—Where advantage has been taken of the provisions of the Copyright Act, 1913, as to simultaneous publication, the date and place stated should be those which entitle the work to copyright in New Zealand.

If the work is not published :—
Whether author British subject or not.
If not a British subject, name of country in which author was resident or domiciled at date of the making of the work.

In the case of photographs, phonographic records, and music rolls, date of making the original negative or original plate.

Form No. 3.
Notice relating to a Particular Importation.

To the Minister of Customs.
I, , of , hereby give you notice that I am the owner [or agent for the owner] of the copyright in a certain original work as to which copyright now subsists under the Copyright Act, 1913, and that the undermentioned goods—that is to say [Describe the goods, number of packages, marks used, and any other particulars necessary for their identification]—are about to be imported into the Port of on or about the day of next in the [Describe the ship, and give name or indication] from ; that such goods are liable to detention and forfeiture as being [State if the goods are copies of the original work made out of New Zealand, or how otherwise the goods are liable to detention and forfeiture]. And I request that the said goods may be detained and dealt with accordingly; and I hereby undertake to reimburse all expenses and damages incurred in respect of the detention, and of any proceedings for forfeiture which may be subsequently taken.

Dated at , this day of , 19 .
[Signature.]
[If an agent, insert “Agent of Owner.”]

Form No. 4
Statutory Declaration.

I, , of , do solemnly and sincerely declare that the contents of the notice hereto annexed are true; and I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Justices of the Peace Act, 1908.

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

Justice of the Peace
[or Solicitor, or Notary Public].

J. F. ANDREWS,
Clerk of the Executive Council.

By Authority: JOHN MACKAY, Government Printer, Wellington.