I declare that the person named above became the
proprietor of the above local newspaper with effect
from
I certify that the particulars in Part B and my
description are correct.
3. Fee: $
Note:
(i)
enclosed.
Signature
of informant
Description
of informant
Date
(new proprietor or otherwise)
This form must be completed in triplicate by
or on behalf of the old and new proprietors.
(ii)
Use Form 4 for notifying Registrar of
Newspapers of any other changes of
particulars of a local newspaper.