IP 1N!l IN GA/Oil
Page 20
FORM DESIGNS
FEE N84.00
NO.5
Patents and Designs Act
Cap. 344
APPLICATION UNDER SECTION 15 FOR REGISTRATION
OF DESIGN TO BE APPLIED TO A SET OF ARTICLES
NOT BEING TEXTILE ARTICLES
Application is hereby made for the registration of the accompanying
design for a set of articles in the name of (a)
.
.
.
................................................................................................
of ................................................................•.........................
............
••••
••••
•••••
•
"
t
who claim(s) to be the proprietor(s) thereof (b)
It.
.
The design is to be applied to a (c)
.
(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 (j)
. . . . . . . . . . . . . . . . . . . . . •••
•••• e
-
.
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)
'
this
day of
To The Registrar of Patents and Designs,
Designs Regis try,
Federal Ministry of Trade,
Federal Capital Territory, Abuja, Nigeria.
DATED
.
19
.
N.B.- Three 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) Her~ 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
represen tations.