Designs Act 1953
Application is hereby made for the registration of the accompanying design in the name of [insert (in full) the name, address, and nationality of the applicant or applicants], who claim(s) to be the proprietor(s) thereof [if the applicant is not the person who made the application in the convention country, the words “by virtue of”
, followed by particulars of the instrument under which he claims, should be inserted here].
The design is to be applied to a [state the article to which the design is to be applied as shown in the representations].
The design has been previously registered for one or more other articles under [no] [delete if inapplicable.]
The design consists of the design previously registered under [no] with modifications or variations not sufficient to alter the character, or substantially to affect the identity thereof. [Delete if inapplicable]
Application for protection of the design has been made in [insert the name of the convention country in which the first application was made], on the following official date, namely, [insert the official date the first application in a convention country]. That application is the first application made in a convention country in respect of the design, whether by the applicant(s) or by any person of whom he (they) claim(s) to be the legal representative(s) or assignee(s), and I (we) request that the design may be registered as of the date [insert the official date of the first application in a convention country].
My (or Our) address for service in New Zealand is [address].
Dated this day of 19 .
To the Commissioner of Designs,Patent Office,Wellington C. 1.
Note: A representation of the design should accompany this form, and, except in the case of an application in respect of wallpaper or lace, it should further be accompanied by a statement of the features of the design for which novelty is claimed.
Schedule 2 form 3: amended, on 19 April 2011, by regulation 24(2) of the Designs Amendment Regulations 2011 (SR 2011/75).
Designs Act 1953
Application is hereby made for the registration of the accompanying design for a set of articles in the name of [insert (in full) the name, address, and nationality of the applicant or applicants], who claim(s) to be the proprietor(s) thereof [if the applicant is not the person who made the application in the convention country, the words “by virtue of”
, followed by particulars of the instrument under which he claims, should be inserted here].
The design is to be applied to a [state the set of articles, and also the trade description of each of the articles comprised in the set, to which the design is to be applied as shown in the representations].
The design has been previously registered for one or more other articles under [no] [delete if inapplicable.]
The design consists of the design previously registered under [no] with modifications or variations not sufficient to alter the character, or substantially to affect the identity thereof. [Delete if inapplicable.]
Application for protection of the design has been made in [insert the name of the convention country in which the first application was made], on the following official date, namely, [insert the official date of the first application in a convention country]. Such application is the first application made in a convention country in respect of the design, whether by the applicant(s) or by any person of whom he (they) claim(s) to be the legal representative(s) or assignee(s), and I (we) request that the design may be registered as of the date [insert the official date of the first application in a convention country].
My (or Our) address for service in New Zealand is [address].
Dated this day of 19 .
To the Commissioner of Designs,Patent Office,Wellington C. 1.
Note: A representation of the design should accompany this form, and, except in the case of an application in respect of wallpaper or lace, it should further be accompanied by a statement of the features of the design for which novelty is claimed.
Schedule 2 form 5: amended, on 19 April 2011, by regulation 24(4) of the Designs Amendment Regulations 2011 (SR 2011/75).