SUPPLEMENTAL BOX

TENTH SCHEDULE
(regulation 38)

THE INDUSTRIAL PROPERTY OFFICE
REPUBLIC OF MAURITIUS

THE PATENTS, INDUSTRIAL DESIGNS AND TRADEMARKS ACT 2002
DECLARATION FOR WITHDRAWAL OF APPLICATION

To:

The Controller
Industrial Property Office
Ministry of Foreign Affairs, International Trade & Cooperation
Port Louis

1.

1.

*l/We

………………………………………………………………………………………………
………………………………..
of………………………………………………………………………………………………
…………………………………………………………………………………………………
……………………………………………………………………………………….
request

the

Controller

to

withdraw

*my/our

hereby

Application

No…………………….dated……………………………..for the registration of the industrial
design mentioned therein

Select target paragraph3