in respect of all. the products

of products listed at annex
OR

2.

*My/Our address for service in Mauritius is as follows:

………………………………………………………………………………………………………
………………………………………………………………………………………………………
…………………………………………………………………………………….

3.

Name and address of *my/our *Agent/Attorney:

………………………………………………………………………………………………………
………………………………………………………………………………………………………
……………………………………………………………………………………
Date:…………………………
Signature:……………………………………………
(Applicantl Agent)

_____________
*Delete whichever is not applicable.

ELEVENTH SCHEDULE
(regulation 40)

THE INDUSTRIAL PROPERTY OFFICE
REPUBLIC OF MAURITIUS

THE PATENTS, INDUSTRIAL DESIGNS AND TRADEMARKS ACT 2002
CERTIFICATE OF REGISTRATION OF INDUSTRIAL DESIGN
______________________________________________________________________________
_____________________

Select target paragraph3