Commonwealth Consolidated Regulations
COMMONWEALTH OF AUSTRALIA
NOTICE FOR PURPOSES OF REGULATION 23
To the Collector of Customs of Norfolk Island.
I, , of , being the owner [ or agent of the owner] of the copyright in the work [ or works] specified in the Schedule to this notice give you notice that I object [ or, where notice is given by the agent , that objects] to the importation into Norfolk Island [ here specify the period during which importation is objected to ] of copies of the work [ or works] to which regulation 23 of the Copyright Regulations applies.
Dated
[ Signature ]
[ If an agent, insert "Agent of Owner"]
THE SCHEDULE
Title (if any) of work--
Description of work--
Full name of author or authors--
Whether author or authors alive--
If the author, or any one or more of the authors, is dead, date or dates of death--
Date and place of first publication of work--