name, address and calling of I, (a) John Smith, of 29, Perry Street, (a) Here insert Birmingham, in the county of Warwick, Engineer, do solemnly and sincerely declare inventor. title of inven that I am in possession of an invention for (b) Here insert Improvements in Sewing Machines; that tion. 66 I am the true and first inventor thereof; and that the same is not in use by any other person or persons to the best of my knowledge and belief; and I humbly pray that a patent may be granted to me for the said invention. And I make the above solemn declaration conscientiously believing the same to be true, First Schedule. (c) Signature of inventor. (d) Signature and title of the officer before whom the declaration is made. and by virtue of the provisions of the Statutory Declarations Act, 1835. NOTE. Where the above declaration is made out of the United Kingdom, the words "and by virtue of the Statutory Declarations Act, 1835," must be omitted; and the declaration must be made before a British consular officer, or where it is not reasonably practicable to make it before such officer, then before a public officer duly authorised in that behalf. (a) Here insert declaration. FORM B. FORM OF PROVISIONAL SPECIFICATION. Improvements in Sewing Machines. (a) I, (b) John Smith, of 29, Perry Street, inventor as in Birmingham, in the county of Warwick, Engineer, do hereby declare the nature of my invention for "Improvements in Sewing (c) Here insert short descrip- Machines," to be as follows (c): tion of inven NOTE. No stamp is required on this document. First Schedule. £3 Stamp. (a) Here insert title, as in de claration. name, address, and calling of declaration. inventor, as in I, (b) John Smith, of 29, Perry, Street, Birmingham, in the County of Warwick, (b) Here insert Engineer, do hereby declare the nature of my invention for "Improvements in Sewing Machines," and in what manner the same is to be performed, to be particularly described and ascertained in and by the following statement (c) Having now particularly described and ascertained the nature of my said invention and in what manner the same is to be performed, I declare that what I claim is (d). 1. 2. 3. &c. (c) Here insert full description of invention. (d) Here state distinctly the features of novelty claimed. VICTORIA, by the grace of God, of the United Kingdom of Great Britain and Ireland, Queen, Defender of the Faith: To all to whom these presents shall come greeting: Section 33 First Schedule. Whereas, John Smith, of 29, Perry Street, Birmingham in the county of Warwick, Engineer, hath by his solemn declaration represented unto us that he is in possession of an invention for "Improvements in Sewing Machines," that he is the true and first inventor thereof, and that the same is not in use by any other person to the best of his knowledge and belief: And whereas the said inventor hath humbly prayed that we would be graciously pleased to grant unto him (hereinafter together with his executors, administrators, and assigns, or any of them, referred to as the said patentee) our Royal Letters Patent for the sole use and advantage of his said invention : And whereas the said inventor hath by and in his complete specification particularly described the nature of his invention': And whereas we being willing to encourage all inventions which may be for the public good, are graciously pleased to condescend to his request: Know ye, therefore, that We, of our especial grace, certain knowledge, and mere motion do by these presents, for us, our heirs and suc 1 See Introductory Chapter as to this recital, and the omission of the old express condition as to complete specification. |