I (or WE) have appointed [Name of agent], of [Address of agent], to act as my (or our) agent for [State the particular purpose for which the agent is appointed], and request that all notices, requisitions, and communications relating thereto may be sent to that agent at the above address. I (or We) revoke all previous authorizations, if any. I (or We) hereby declare that I am (or we are) a [State nationality]. Signature: ............. Address: ............... Dated this ...... day of ......... 19 ... To the Commissioner of Designs, Patent Office, Wellington C 1.

APPLICATION is hereby made for 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. The design is to be applied to [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.) My (or Our) address for service in New Zealand is ................. Signature: ........... Dated this ....... day of ......... 19 ... To the Commissioner of Designs, Patent Office, Wellington C 1 NB—Four identical representations or specimens of the design should accompany this form, and, except in the case of an application in respect of wallpaper or lace or any textile article, it should further be accompanied by a statement of the features of the design for which novelty is claimed.

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 of 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 ............... Signature: ............... Dated this ...... day of ......... 19 ... To the Commissioner of Designs. Patent Office, Wellington C 1. NB—Four identical representations or specimens 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.

APPLICATION is hereby made for 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. The design is to be applied to [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.) My (or Our) address for service in New Zealand is ................. Signature: .............. Dated this ........ day of ....... 19 .... To the Commissioner of Designs, Patent Office, Wellington C 1. NB—Four identical representations or specimens 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.

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 ................. Signature: ............. Dated this ..... day of .......... 19 ... To the Commissioner of Designs, Patent Office, Wellington C 1. NB—Four identical representations or specimens 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.

Application for design No ................ APPLICATION is hereby made under regulation 38 of the Designs Regulations 1954 for a statement in writing of the grounds of the decision dated the day of after the hearing on the day of and the materials used in arriving at that decision. Signature and address: ................ Dated this ....... day of .......... 19... To the Commissioner of Designs. Patent Office, Wellington C 1.

I (or WE) hereby apply for ............ months' extension of time within which the application No ........... for the registration of a design may be completed. [Insert name and full address to which receipt is to be sent.] To the Commissioner of Designs. Patent Office, Wellington C 1.

THIS is to certify that, in pursuance of and subject to the provisions of the Designs Act 1953, the design, of which a representation is annexed, has been registered in the name of ........... as of the ....... day of ......... in respect of the application of the design to ................. Commissioner of Designs. Subject to the provisions of the Act and regulations, copyright in this design will subsist for five years from the above-mentioned date, and may be extended for two further periods, each of five years. Patent Office, Wellington C 1.

This is to certify that, in pursuance of and subject to the provisions of the Designs Act 1953, the design, of which a representation is annexed, has been registered in the name of ............ as of the ......... day of .............. in respect of the application of the design to .................. The period of copyright conferred by the registration of this design does not extend beyond the expiration of the original and any extended period of copyright in registered design No .......... Commissioner of Designs. Patent Office, Wellington C 1. NB—Copyright in this design will normally expire on the ............, but may, on application made in the prescribed manner, be extended for two further periods, each of five years, provided that the period of copyright in design No ........... be similarly extended.

Number of Registration THIS is to certify that, in pursuance of and subject to the provisions of the Designs Act 1953, the design, of which a representation is annexed, has been registered in the name of ............ as of the ......... day of ............... (being the date on which application was made for protection of the design in a convention country, namely, .............) in respect of the application of the design to ........ Commissioner of Designs. Patent Office, Wellington C 1.

Number of Registration THIS is to certify that, in pursuance of and subject to the provisions of the Designs Act 1953, the design, of which a representation is annexed, has been registered in the name of ............. as of ........... the ......... day of .......... (being the date on which application was made for protection of the design in a convention country, namely, ..............) in respect of the application of the design to ................ The period of copyright conferred by the registration of this design does not extend beyond the expiration of the original and any extended period of copyright in registered design No ......... Commissioner of Designs. Patent Office, Wellington C 1. NB—Copyright in this design will normally expire on the ............ but may, on application made in the prescribed manner, be extended for two further periods, each of five years, provided that the period of copyright in design No ............. be similarly extended.

I (or WE) hereby apply for the extension of the period of copyright in design No ........ for a second period of five years. [Insert name and full address to which certificate is to be sent.] Signature: .................. To the Commissioner of Designs, Patent Office, Wellington C 1. —————————————————— [This part of the form to be filled in at the Patent Office] Certificate of Extension of Copyright in Design for the Second Period of Five Years This is to certify that ......... did this ..... day of ...... make application and pay the prescribed fee for the extension of copyright in the design No ......... and that the copyright is hereby extended for a second period of five years until the ..... day of ...... 19 ... Commissioner of Designs. Patent Office, Wellington C 1.

I (or WE) hereby apply for the extension of the period of copyright in the design No ...... for a third period of five years. [Insert name and full address to which certificate is to be sent.] To the Commissioner of Designs, Patent Office, Wellington C 1. —————————————————— [This part of the form to be filled in at the Patent Office] Certificate of Extension of Copyright in Design for the Third Period of Five Years This is to certify that ............. did this ....... day of ........ make application and pay the prescribed fee for the extension of copyright in the design No .......... and that the copyright is hereby extended for a third period of five years until the ............ day of ............. 19 .... Commissioner of Designs. Patent Office, Wellington C 1.

I (or WE) hereby request ........ months' extension of time within which payment of the fee of £ ....... for the extension of the copyright in design No ........... may be made. [Insert name and full address to which receipt is to be sent.] Signature: ............. To the Commissioner of Designs, Patent Office, Wellington C 1.

I (or WE), [Insert name, address, and nationality], hereby request that you will enter my (or our) name(s) in the register as proprietor(s) (or mortgagee, or licensee) of the design No...... I am (or We are) entitled to the said design (or to a share or an interest in the said design) in pursuance of [Insert full particulars of the instrument if any]. My (or Our) address for service in New Zealand is ................. Signature: ............. Dated this ...... day of ......... 19 .... To the Commissioner of Designs, Patent Office, Wellington C 1. NB—The instrument under which the applicant claims should accompany this form.

I (or WE) [Insert name, address, and nationality], hereby request that you will enter the name(s) of [Insert name, address, and nationality of assignee, etc] in the register as subsequent proprietor(s) (or mortgagee(s) or licensee(s)) of the design No ........... He is (or They are) entitled to the said design (or to a share or interest in the said design) by virtue of [Insert full particulars of the instrument, if any]. The address for service in New Zealand of the subsequent proprietor mortgagee, or licensee, etc, is [Insert the address for service in New Zealand of the subsequent proprietor, mortgagee, licensee, etc]. Signature: ................. Dated this ....... day of .......... 19... To the Commissioner of Designs, Patent Office, Wellington

I (or WE) transmit herewith an attested copy of [Insert a description of the nature of the document, giving its date and the names, addresses, and nationality of the parties thereto] relative to Design No ..... as well as the original document for verification, and I (or we) apply that a notification thereof may be entered in the register. Signature: ............... [Insert full address of the party benefiting under the document.] To the Commissioner of Designs, Patent Office, Wellington C 1.

Design No .......... Name of Registered Proprietor: ................ Place of Business: ................ I (or WE), the undersigned ......................, of ......................., apply for the entry in the register that I (we) no longer claim to be mortgagee or licensee in respect of the design No .............. Signature: ........... Dated this ........ day of ........... 19..... To the Commissioner of Designs, Patent Office, Wellington C 1.

I (or WE), .............., hereby apply that my (or our) name(s) (or nationality) in the register may be altered to [Insert particulars of alteration]. In respect of design No .......... there has been no change in the actual proprietorship of the said design, but ................ Signature and address: ................. To the Commissioner of Designs, Patent Office, Wellington C 1

Design No ........... I (or WE), ................, of ................, the registered proprietor(s) of the design numbered as above, apply that my (or our) address [or my (or our) address for service] in the register may be altered to .......... Dated this........ day of........ 19.. Signature of proprietor: ................ To the Commissioner of Designs, Patent Office, Wellington C 1.

Design No ............ Name of Registered Proprietor: ........... Address: ............... I (or WE), the undersigned ..............., of ............, apply that the registration of the design No .......... may be cancelled. Signature: ................... Dated this .......... day of ...........19... To the Commissioner of Designs. Patent Office, Wellington C 1.

I (or We), [State (in full) name, address, occupation, and nationality], hereby apply for leave to dispense with the production of probate of the will (or letters of administration in the estate) of [Name of deceased, in full], deceased (hereinafter referred to as the deceased), who was the [Applicant, or registered proprietor] of the design entitled [Title or description of design] the subject of application No .......... in New Zealand. The circumstances in and the grounds upon which this application is made are as follows: 1. The deceased died testate (or intestate) at ...... on the ........ day of ........ 19 ..., and at his death was domiciled in [State country of domicile]. 2. I am entitled to obtain probate of the will of the deceased (or letters of administration in the deceased's estate). Or,— I am the legal representative of the deceased in the country of his domicile by virtue of probate (or letters of administration) granted to me by [Title of official or name of Court making] at ..... on the ........ day of .......... 19 .... 3. Probate of the will of the deceased has (or letters of administration in the deceased's estate have) not been granted or resealed in New Zealand. 4. No duty is payable in New Zealand in the estate of the deceased, as is evidenced by the certificate by the Commissioner of Inland Revenue annexed hereto. 5. The interests of the creditors of the deceased and of all persons beneficially interested under his will or in his estate will be adequately safeguarded in the manner following:................... Communications should be sent to .................. at [The address must be within New Zealand], who is (or are) hereby appointed to act for me (or us). [To be signed by all persons making the application.] To the Commissioner of Designs, Patent Office, Wellington C 1.

I HEREBY request that the following error ............... in the [State whether in application, representation, or entry in register] of design No .......... may be corrected. Signature: .......... Address: ............ Dated this ...... day of ............ 19 ..... To the Commissioner of Designs. Patent Office, Wellington C 1.

(To be accompanied by a copy, and a statement of a case in duplicate) I (or WE), [State (in full) name and address], hereby give notice of opposition to the correction of an alleged clerical error in .............., which said correction has been applied for by ................ The grounds upon which the said Correction is opposed are as follows:............................... Communications should be sent to ............... at [The address must be within New Zealand], who is (or are) hereby appointed to act for me (or us). [To be signed by opponent or opponents.] To the Commissioner of Design, Patent Office. Wellington C 1.

Design No ..........., registered in the name of .............. I (or WE), of hereby request you to furnish me (or us) with your Certificate [Set out the particulars which the Commissioner is requested to certify] for use in [State the purpose for which the certificate is required, ie, whether for use in legal proceedings (if so, state title of proceedings) or for what other purpose]. Signature: ............. Dated this ........ day of ......... 19..... To the Commissioner of Designs, Patent Office, Wellington C 1. NOTE.—Where a representation of the registered design is to be attached to the Certificate a copy identical with that attached to the Certificate of Registration must accompany this form.

I (or WE) have to inform you that the Certificate of Registration of design No ............. has been [State whether ''lost'' or ''destroyed'' or ''cannot be produced'', as the case may be, and state in full the circumstances of the case which must be verified by statutory declaration or affidavit]. I (or We) therefore apply for the issue of a further certificate [State interest possessed by applicant in the design]. Signature and address: ................ Dated this ....... day of ............. 19.... To the Commissioner of Designs, Patent Office Wellington C 1. *Note.—A representation of the registered design must accompany this form.

I (or WE) hereby request that I (or we) may be given such information as I (or we) may be entitled to under section 31 of the Act with respect to the design registered under the No ......... Signature and address: ............ Dated this ..... day of ........... 19 ..... To the Commissioner of Designs, Patent Office, Wellington C 1.

I (or WE) hereby request that a search may be made in respect of the design (a representation or specimen of which is annexed hereto in duplicate) applied to [Insert name of article] and that I (or we) may be given such information as I (or we) may be entitled to under section 31 of the Act. Signature and address:........... Dated this ...... day of ............ 19 .... To the Commissioner of Designs, Patent Office, Wellington C 1.

I (or WE) hereby request that a search may be made and that I (or we) may be informed whether the design (a representation or specimen of which is annexed hereto in duplicate) to be applied to [Insert name of article] appears to be identical with or closely to resemble any registered design applied to the article of which the copyright is still existing. Signature and address:..................... Dated this ....... day of .............. 19 .... To the Commissioner of Designs, Patent Office, Wellington C 1.

Design No.......... I (or WE), ............. , of ........., hereby apply for the grant of a compulsory licence in respect of design No..... on the ground that the design is not applied in New Zealand by any industrial process or means to the article in respect of which it is registered to such an extent as it is reasonable in the circumstances of the case My address for service in New Zealand is .................. Signature: ............... Dated this ....... day of ............ 19 ..... To the Commissioner of Designs, Patent Office, Wellington C 1.

I (or WE) [Insert in full name and address], hereby give notice that the hearing in reference to the application to cancel the registration (or for the grant of a compulsory licence in respect) of design No ............ will be attended by myself (or ourselves) or by some person on my (or our) behalf. Signature ............ Dated this ........ day of ............ 19 ...... To the Commissioner of Designs, Patent Office, Wellington C 1.

Design No ............. I (or WE), ........... of ............, hereby apply for cancellation of the registration of design No ............. on the ground that [State ground(s) on which cancellation is requested]. My address for service in New Zealand is ............. Signature: ............ Dated this ......... day of ............ 19 ........ To the Commissioner of Designs, Patent Office, Wellington C 1.

Design No ........... I (or WE), [State (in full) name and address of applicant] hereby transmit a sealed duplicate (or a certified) copy of an order of the Court with reference to [State the purport of the order]. Signature and address: .............. Dated this ....... day of ............ 19...... To the Commissioner of Designs, Patent Office, Wellington C 1.

I (or WE), [State name and address], hereby apply for an extension of the time for [State matter in respect of which extension of time sought] in respect of application No .......... The circumstances in and grounds upon which this application is made are as follows: [The circumstances and grounds must be stated in detail.] Communications should be sent to ................ at [The address must be in New Zealand]. Signature: ............... To the Commissioner of Designs, Patent Office, Wellington C 1.