JUNE 27.] THE NEW ZEALAND GAZETTE. 1691

[T.M. Form No. 9.

The Patents, Designs, and Trade-marks Act, 1921–22.

CERTIFICATE OF REGISTRATION UNDER SECTION 78.

To

I HEREBY certify, pursuant to section 78 of the above-mentioned Act, and to regulation No. 57 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.

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[T.M. Form No. 10.

The Patents, Designs, and Trade-marks Act, 1921–22.

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 endorsed with the name and address of the person leaving the same.

If a series of marks, £2 for first and 10s. for each other mark of series.

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[T.M. Form No. 11.

The Patents, Designs, and Trade-marks Act, 1921–22.

FIRST NOTICE BEFORE REMOVAL OF TRADE-MARK FROM THE REGISTER, UNDER SECTION 96.

THE Registrar hereby gives you notice that, in conformity with the provisions of section 96 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.

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[T.M. Form No. 12.

The Patents, Designs, and Trade-marks Act, 1921–22.

SECOND NOTICE BEFORE REMOVAL OF TRADE-MARK FROM THE REGISTER, UNDER SECTION 96.

THE Registrar hereby gives you notice that, in conformity with the provisions of section 96 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 £1 is remitted.

Dated this day of , 19 .

To

The Patent Office, Wellington, New Zealand.

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[T.M. Form No. 13.

The Patents, Designs, and Trade-marks Act, 1921–22.

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 £2 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 endorsed with the name and address of the person transmitting the same.

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[T.M. Form No. 14.

The Patents, Designs, and Trade-marks Act, 1921–22.

REQUEST TO ENTER NAME OF SUBSEQUENT PROPRIETOR OF TRADE-MARK UPON THE REGISTER.

I [or WE] [Insert name and address, nationality, and description] hereby request that you will enter my [or our] name[s] in the Register of Trade-marks as proprietor[s] of the Trade-mark No. in Class .

I am [or We are] entitled to the said trade-mark and to the goodwill of the business concerned in the goods with respect to which the said trade-mark is registered.

The following documents are submitted herewith, namely:

[Set out list of documents submitted].

[Signature.]

Dated this day of , 19 .

To the Registrar, Patent Office, Wellington, New Zealand.

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[T.M. Form No. 15.

The Patents, Designs, and Trade-marks Act, 1921–22.

NOTICE OF APPLICATION FOR ALTERATION OF ADDRESS ON REGISTER OF TRADE-MARKS.

In the matter of the Trade-mark No. registered in Class , of , the registered proprietor of the trade-mark numbered as above, desire that my address on the Register of Trade-marks be altered to .

Dated this day of , 19 .

[Signature.]

To the Registrar, Patent Office, Wellington, New Zealand.

NOTE.—If address altered in more than one case at same time, 5s. for first and 1s. for each of other marks.

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[T.M. Form No. 16.

The Patents, Designs, and Trade-marks Act, 1921–22.

APPLICATION TO PERMIT AN APPORTIONMENT OF TRADE-MARKS.

In the matter of the registered Trade-marks Nos. .

WE, being the parties interested within the meaning of section 88 of the Patents, Designs, and Trade-marks Act, 1921–22, in certain marks of , who has ceased to carry on business, request you to permit an apportionment of those marks amongst the persons in fact continuing the business. With this application we send a case in pursuance of regulation No. 73 of the regulations under the said Act relating to trade-marks.

[Signatures.]

Dated this day of , 19 .

To the Registrar, Patent Office, Wellington, New Zealand.

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[T.M. Form No. 17.

The Patents, Designs, and Trade-marks Act, 1921–22.

REQUEST FOR CORRECTION OF CLERICAL ERROR OR FOR PERMISSION TO AMEND APPLICATION UNDER SECTION 73 (6) OR SECTION 121 (c).

SIR,—I hereby request that .

[Signature.]

Dated this day of , 19 .

To the Registrar, Patent Office, Wellington, New Zealand.

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[T.M. Form No. 18.

The Patents, Designs, and Trade-marks Act, 1921–22.

REQUEST TO ENTER CHANGE OF NAME OF REGISTERED PROPRIETOR OF TRADE-MARK UPON THE REGISTER.

I [or WE] [Here insert name, address, and description] hereby request that you will enter my [or our] name[s] in the Register of Trade-marks as proprietor[s] of the Trade-mark No. in Class .

I am [or We are] entitled to the said trade-mark and to the goodwill of the business concerned in the goods with respect to which the said trade-mark is registered.

There has been no change in the actual proprietorship of the said trade-mark, but [Here state the circumstances under which the change of name took place].

[Signature.]

Dated this day of , 19 .

To the Registrar, Patent Office, Wellington, New Zealand.

NOTE.—If more than one mark 5s. for first mark and 1s. for every other mark.

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[T.M. Form No. 19.

The Patents, Designs, and Trade-marks Act, 1921–22.

APPLICATION BY PROPRIETOR OF REGISTERED TRADE-MARK TO CANCEL ENTRY ON REGISTER.

Trade-mark No. , Class , advertised in page .

Name of registered proprietor: .

Place of business: .

Description: .

I, THE undersigned , of [or I, the undersigned, , a member of the firm of , of ,