The design is to be applied to a (3)
(4) The design has been previously registered for one or more other articles under
No ..............................................................................
(3) Here state
the article to
which the
design is to be
applied as
shown in the
representations
(5) 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 the following country
(4) and (5)
Delete one
or both
paragraphs,
if
inapplicable
(6)
on the following official date (7)
numbered (8) Such application was the first application
made in a convention country in respect of the relevant 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 the applicant(s) in the above-mentioned country qualify/qualifies under (9) Article 2/3
of the Convention by reason of being (9) a national(s) of/domiciled in/having a place of
business in a member state, namely
(6) Here
insert the
name of
the
convention
country in
which the
first
application
was made
(7) Here
insert the
official
date of the
first
application
in a
convention
country
(8) Here
insert
official
number of
first
application
in
convention
country
This application is made on the ground that I/we qualify under the said (9) Article 2/3 by
reason of being (9) a national(s) of/domiciled in/having a place of business in a member
(9) Delete
whichever