NO. 3.--OATH FOR PATENT OR CAVEAT.

HAWAIIAN ISLANDS, } _ss._
_Island of_ --------}

----, the above named Petitioner, residing at----, being duly sworn,
deposes and says, that he verily believes himself to be the original,
first and sole inventor of the improvement in----, described and claimed
in the foregoing specification; that the same has not been patented to
himself or to others, with his knowledge or consent, except in the
following countries:----

--------------------------------------------------
Country. | No. | Date of Patent. | Term of years.
---------|-----|-----------------|----------------
| | |
.........|.....|.................|................
| | |
.........|.....|.................|................
| | |
.........|.....|.................|................
--------------------------------------------------

That the same has not, to his knowledge, been introduced into public use
in the Hawaiian Islands for more than one year prior to his application
for a Patent; and he does not know or believe that the same was ever
before known or used; and that he is a citizen (or subject) of----.

(_Inventor's full Name._)

Sworn to and subscribed before me,
this ---- day of ----, A. D. 18--.

[L. S.] (_Signature of Notary._)
(See Rule 23.)

NO. 4.--PETITION FOR CERTIFICATE OF COPYRIGHT BY AN AUTHOR.

TO THE MINISTER OF THE INTERIOR:

Your Petitioner,----, a citizen (or subject) of----, residing at----,
prays that a Certificate of Copyright be issued to him for---- (describe
the article)---- a copy whereof is filed herewith.

(_Author's full Name._)

NO. 5.--OATH OF APPLICANT FOR CERTIFICATE OF COPYRIGHT.

HAWAIIAN ISLANDS, } _ss._
_Island of_ --------}

----, the above named Petitioner, residing at----, being duly sworn,
deposes and says, that he is the original and first author of----
(describe the article)---- in the foregoing petition mentioned, and that
he is a citizen (or subject) of----.

(_Author's full Name._)

Sworn to and subscribed before me,
this ---- day of ----, A. D. 18--.

[L. S.] (_Signature of Notary._)
(See Rule 23.)

NO. 6.--PE