IPIN/lINGAIDII
Page 19
FORM DESIGNS NO.4
FEE
N37.80
Patents and Designs Act
Cap. 344
APPLICATION FOR REGISTRATION OF DESIGN
TO BE APPLIE"O TO A SET OF ARTICLES NOT BEING
TEXTILE ARTICLES
Application is hereby made for registration of the accompanyin g
design for a set of articles in the name of (a)
~
of
.
••
•••
,
••••
"
,
III
who claim(s) to be the proprietor(s) thereof.
The design is to be applied to (b)
.
(c) The design has been previously registered for one or more other
articles under No
..
(d) 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.
My (or Our) address for service in Nigeria is
.
(e)
DATED
this
day of
19
.
.
To The Registrar of Patent and Designs,
Designs Registry,
Federal Ministry of Trade,
Federal Capital Territory, Abuja, Nigeria.
N.B.-Four identical representations 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) Here state the set of articles, and also the trade description of each of the articles
comprised in the set to which the design is to be applied as shown in the representations.
(c) and (d) Strike out one or both paragraphs, if applicable.
(c) Signature.