CAP. 39]

(1) If notice is given by

the owner,

insert I am; if given by

an agent,

insert name

of owner and

the word is.

(2) I am or

he is.

(3) If an

agent, insert

Agent of Owner.

and that (1)

said work and that (2)

Copyright.

the owner of the copyright in the desirous that copies of the

said work made out of the Colony shall not be imported into the Colony.

Dated this

day of

Signature

(3)

19

Schedule.

(4) It is sufficient

to state

the country of first publication.

Title of work (if any)

Full description of work

Initials or marks (if any) usually placed on copies of work

Full name of author or authors

Whether author or authors alive; if not, date of death

When and where (4) work first published

If work not published-

Whether author British subject or not

If not a British subject, name of country in which author was resident or domiciled at date of the making of the work

In the case of photographs, photographic records and music rolls, date of making the original negative or original plate

NOTE. Where advantage has been taken of the provisions of the Copyright Act, 1911, as to simultaneous publication, the date and place stated should be those which entitled the work to copyright in the Colony.

[r. 2.]

FORM 3.

Notice.

Relating to a particular importation.

To the Director of Commerce and Industry.

I,

of

(1) or agent for the

owner.

hereby give you notice that I am the owner (1)

of the copyright in a certain original work as to which copyright now subsists under the Copyright Act, 1911, and that the under-

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