1678

[Patents Form No. 20.
The Patents, Designs, and Trade-marks Act, 1921–22.
REQUEST FOR CORRECTION OF CLERICAL ERROR.
I [or We] hereby request that the following clerical error[s]
in the [Here state whether in application, specification, or
register] No. , of , may be corrected in the
manner shown in red ink in the certified copy of the
original [State whether application, specification, or register]
hereunto annexed.

[Signature.]
[Address in full.]
To the Registrar of Patents, Wellington, New Zealand.

[Patents Form No. 21.
The Patents, Designs, and Trade-marks Act, 1921–22.
REQUEST FOR CERTIFICATE OF REGISTRAR.
In the matter of patent No. , of .
I [or We], , of , hereby request you to furnish me [or us] with your certificate to the effect that
[Here set out the particulars, which the Registrar is requested
to certify].

[Name and full address to which certificate
is to be sent.]
Dated at the day of , 19 .
To the Registrar of Patents, Wellington, New Zealand.

[Patents Form No. 22.
The Patents, Designs, and Trade-marks Act, 1921–22.
APPLICATION FOR DUPLICATE OF PATENT.
I [or We] regret to have to inform you that the patent
dated , No. , granted to for an
invention the title of which is , has been [Here
insert the word destroyed or lost, as the case may be, and
state (in full) the circumstances of the case, which must
be verified by statutory declaration].
I [or We] beg therefore to apply for the issue of a duplicate
of such patent [Here state interest possessed by applicant
or applicants in the patent].
Dated at the day of , 19 .
[Signature of patentee or patentees.]
To the Registrar of Patents, Wellington, New Zealand.

[Patents Form No. 23.
The Patents, Designs, and Trade-marks Act, 1921–22.
NOTICE OF INTENDED EXHIBITION OR PUBLICATION OF AN
UNPATENTED INVENTION.
I [or We] [Here state (in full) name and address of applicant
or applicants] hereby give notice of my [or our] intention—
(a.) To exhibit a of at the Ex-
hibition which opened [or is to open] on the day
of , 19 , under the provisions of the above-
mentioned Act;
(b.) To publish my invention for by reading a
paper before on the , or by permitting
publication of the paper in the society’s transactions.
I [or We] herewith enclose a brief description of my [or
our] invention. [This description of invention should be
accompanied by drawings if necessary.]
[Signature.]
To the Registrar of Patents, Wellington, New Zealand.

[Patents Form No. 24.
The Patents, Designs, and Trade-marks Act, 1921–22.
APPLICATION FOR ENTRY OF ORDER OF COURT IN REGISTER.
I [or We] [Here state (in full) name and address of applicant
or applicants] hereby transmit an office copy of an
order of the Court with reference to [Here state the purport
of the order].
[Signature.]
To the Registrar of Patents, Wellington, New Zealand.

[Patents Form No. 25.
The Patents, Designs, and Trade-marks Act, 1921–22.
LOCAL PATENT OFFICER’S RECEIPT.
Local Patent Office,
, New Zealand.
RECEIVED from for transmission to the Registrar
of Patents, Wellington [Complete specification in respect

[No. 49
of], application for letters patent for an invention for
, at the hour of o'clock m., this day
of , 19 .

, Local Patent Officer.
Receipt by Local Patent Officer.]

THIRD SCHEDULE.
FORM A.
FORM OF PATENT.
GEORGE V, by the grace of God, of the United King-
dom of Great Britain and Ireland and of the British
Dominions beyond the Seas King, Defender of the
Faith, Emperor of India: To all to whom these
presents shall come, greeting:
WHEREAS hath declared that he is in possession of
an invention for , that he claims to be the true and
first inventor thereof, and that the same is not in use by
any other person to the best of his knowledge and belief:
And whereas the said inventor hath humbly prayed that a
patent might be granted unto him for the sole use and
advantage of his said invention: And whereas the said
inventor (hereinafter, together with his executors, ad-
ministrators, and assigns, or any of them, referred to as
“the said patentee”) hath by and in his complete specifi-
cation particularly described the nature of his invention:
And whereas We, being willing to encourage all inventions
which may be for the public good, are graciously pleased to
condescend to his request:
Know ye, therefore, that We, of our especial grace,
certain knowledge, and mere motion, do by these pre-
sents, for us, our heirs and successors, give and grant
unto the said patentee our especial license, full power,
sole privilege, and authority, that the said patentee,
by himself, his agents, or licensees, and no others, may
at all times hereafter during the term of years herein
mentioned make, use, exercise, and vend the said inven-
tion within New Zealand and its dependencies, in such
manner as to him or them may seem meet, and that the
said patentee shall have and enjoy the whole profit and
advantage from time to time accruing by reason of the
said invention during the term of sixteen years from the
date hereunder written of these presents: And to the
end that the said patentee may have and enjoy the sole
use and exercise and the full benefit of the said invention,
We do by these presents, for us, our heirs, and successors,
strictly command all our subjects whatsoever within New
Zealand and its dependencies that they do not at any time
during the continuance of the said term of sixteen years
either directly or indirectly make use of or put in practice
the said invention, or any part of the same, nor in anywise
imitate the same, nor make or cause to be made any addi-
tion thereto or subtraction therefrom, whereby to pretend
themselves the inventors thereof, without the consent,
license, or agreement of the said patentee in writing under
his hand and seal, on pain of incurring such penalties as
may be justly inflicted on such offenders for their contempt
of this our Royal command, and of being answerable to the
patentee according to law for his damages thereby occasioned:
Provided always that these letters patent shall be
revocable on any of the grounds from time to time by law
prescribed as grounds for revoking letters patent granted
by Us, and the same may be revoked and made void accord-
ingly: Provided also that if the said patentee shall not
pay all fees by law required to be paid in respect of the
grant of these letters patent, or in respect of any matter
relating thereto at the time or times and in manner for
the time being by law provided, and also if the said
patentee shall not supply or cause to be supplied for our
service all such articles of the said invention as may be
required by the officers or commissioners administering
any department of our service, in such manner, at such
times, and at and upon such reasonable prices and terms
as shall be settled in manner for the time being by law
provided, then and in any of the said cases these our
letters patent, and all privileges and advantages whatever
hereby granted, shall determine and become void not-
withstanding anything hereinbefore contained: Provided
also that nothing herein contained shall prevent the grant-
ing of licenses in such manner and for such considerations
as they may by law be granted: And, lastly, We do by
these presents, for us, our heirs and successors, grant unto
the said patentee that these our letters patent shall be con-
strued in the most beneficial sense for the advantage of the
said patentee.
In witness whereof We have caused these our letters to
be made patent, and to be sealed as of the day
of , one thousand nine hundred and .
[Signature of Registrar of Patents, Designs, and
Trade-marks.]
[Seal of Patent Office.]