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If this page displays an entry form with no image sample visible, please categorise 'Entry form' and transcribe all fields except the height and width of the image sample.

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Page type: Entry form

Item number (top right of entry form): 26

Image number (corner of image sample itself - leave blank if not visible):

Date of registration stamp: 3 January 1901

Date form completed (next to signature): 2 January 1901

Description of work: Drawing of combination corner ornament comprising shield, plumes, sword, lance, battle axe & club. Copy annexed.

Date of Agreement or Assignment:

Names of Parties to Agreement or Assignment:

Name and Place of Abode of Proprietor of Copyright (use commas): Bamber & Washington, 77 Sackville Street, Manchester

Name and Place of Abode of Author of Work (use commas): George Henry Bamber, 67 Dickenson Road, Rusholme, Manchester

Approximate height of image sample (cm):

Approximate width of image sample (cm):