IP/N/I/NGA/D/l
Page 18
Patents and Designs Act
Cap. 344.
NO.3
made of lace
FORM DESIGNS
FEE N84.00 if
APPLICATION UNDER SECTION 15 FOR REGISTRATION
OF DBSIGN EXCEPT FOR TEXTILE ARTICLES"
Application is hereby made for the registration of the accompanying
design in the name of (a)
.
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who claimfs) to be the proprietor(s) thereof (b)
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The design is to be applied to a (c)
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(d) The design has been previously registered for one or more other
articles under No. .
.
(e) The design consists of the design previously registered under No .
..... ....... with modifications or variations not sufficient to alter the
character, or substantially to affect the identity thereof.
Application for protection of the design has been made in if)
.
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.. .. . . . . . ..
on the following
.
official date, viz.: (g)
Such application is the first application made" in a Convention country
in respect of the design, whether by the applicant(s) or by any person of
whom he (they) claim(s) to be the legal representative(s) or assignee(s),
and I(\ve) request that the design may be registered as of the date (g) ..
My (or Our) address for service in Nigeria is
.
(h)
DATED
this
.
day of
19
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To The Registrar of Patents and Designs,
Designs Registry, Federal Ministry of Trade,
Federal Capital Territory, Abuja, Nigeria.
N.B.-Three identical represcn rations or specimens of the design should accompany this
Form, and, except in the case of an application in respect of wall paper or lace, it
should further be accompanied by a statement of the features of the design.
(a) Here insert (in full) the name, address and nationality of the applicant or
applicants.
(b) If the applicant is not the person who made this application in the Convention
country, the words "by virtue of'. followed by particulars of the instrument under which
he claims. should be inserted here.
(c) Here. state the article to which the design is to be applied as shown in the
representations.
(d) and (e) Strike out one or both paragraphs. if inapplicable.
(f) Here insert the name of the Convention country in which the first application was
made.
(g) Here insert the official date of the first application in a Convention country.
(h) Signature.