(a)
(a)
Applicant is the creator:
(b)
(b)
If the applicant is not the Creator:
Yes
No
Name
of
Creator:…………………��………………………………………………………………
………………….
Address
of
Creator:……………………………………………………………………………………
……………….
A statement justifying the applicant's right to the design is enclosed: Yes
(c)
No
The Creator does not wish to be named in the Certificate of registration of the
Industrial Design in accordance with section 29(6) of the Patents, Industrial
Designs and Trademarks Act 2002.
A declaration to that effect is enclosed
OR
will
be
filed
by……………………………………………………………………………………(date)
______________________________________________________________________________
_____________________
3.
AGENT
Name
of
agent
(if
you
have
one)
………………………………………………………………………………………………….
“Address for service" in Mauritius to which all correspondence should be
sent………………………………………………
………………………………………………………………………………………………
…………………………………………
Name
and
telephone
number
of
person
to
contact
in
Mauritius.……………………………………………………………….
………………………………………………………………………………………………
…………………………………………