COPYRIGHT ACT, 1879.—THIRD SCHEDULE (B).

Designs.-Part III.

Form of Request to register.

(BY PERSON UPON WHOM DESIGN HAS DEVOLVED OTHERWISE THAN BY TRANSFER).

To the Registrar of Copyright, New South Wales,—

in whom is vested by the Design No.

(Signature)
(Date)

Witness

* Add, if such devolution be of a partial or limited right, "so far as regards the application thereof to"; and describe the article or work of manufacture or art, or substance, or the locality, in relation to which the right has devolved.

[For Form of Register under Part I, see Amended Regulations, p. 28.] [For Form of Register under Part II, see Amended Regulations, p. 34.]

I hereby certify that the above-written extract from the Register of Designs is correctly transcribed, and I also hereby certify that a Copyright of

years was granted for the said Design from the

190 and that a

at the time of registration.

day of

of the said Design was deposited at this Office

The preceding form of Extract from Book C indicates the form of the Register

under Part III of the Act.

Department of Justice,

Sydney, 14th March, 1884.

His Excellency the Governor, with the advice of the Executive Council, has been pleased to direct, in pursuance of sec. 52 of the "Copyright Act of 1879" (42 Vic. No. 20), that the following Forms, Books of Register, and Scale of Fees, under Part I of that Act, shall be used in the office of Copyright Registry of New South Wales, in lieu of those authorized by notification in the Government Gazette of 22nd July and 18th July, 1879, respectively.

H. E. COHEN.

FORMS, BOOKS OF REGISTER, AND SCALE OF FEES.

COPYRIGHT ACT, 1879 (42 Vic. No. 20).

Part I.-Fourth Schedule (A).

Form requiring entry of Proprietorship in any Book, &c.

(A.)

the intituled

the Copyright of a
hereby require you to make entry in the Register
proprietorship of such Copyright, according

proprietor of
and
Book of your Department of
to the particulars underwritten.

Form of Concurrence of Party assigning Copyright in any Book, &c., previously

registered.

of

being the Assignor of the Copyright of the Book, &c., hereunder described, do hereby require you to make entry of the Assignment of the Copyright therein.

Nature and Ex- Name & Address Title of Book, &c. tent of Assign- of Assignor of

Name and Place If Dramatic or Musical Produc of Abode of tion, state whether with cr withCopyright.

ment or Transfer the Copyright. Assignee of the out Liberty of Representation

of Performance.

COPYRIGHT ACT, 1879 (42 VIC. No. 20).

Part I.-Fourth Schedule (A.)

(C.)

Form requiring entry of Proprietorship in any Dramatic or Musical Production.

of

do hereby certify that

the proprietor of the Liberty of Representation or Performance, of a Dramatic or Musical Production, intituled and

Department of

hereby require you to make entry in the Register Book of your proprietorship of such Liberty of Representation

or Performance, according to the particulars underwritten.

Form of Concurrence of Party Assigning any Piece or Composition previously

Registered.

of

being the Assignor of the Liberty of Representation or Performance of a Dramatic Piece or Musical Composition hereunder described, do hereby require you to make entry of the Assignment of such Liberty of Representation or Performance.

Part I.

COPYRIGHT ACT, 1879,

42 VICTORIA, No. 20.

Extract from the "Register of Proprietors under Part I of Copyright Act: Literary, Dramatic, and Musical Works, Lectures, &c."

(E.)