In accordance with section 31 of the Patents, Industrial Designs arid Trademarks Act 2002, it is
hereby

certified

that

an

industrial

design

having

the

registration

No…………………………………………………….has been registered in the name of

Name:………………………………………………………………………………………………
…………………………………………
Address……………………………………………………………………………………………
………………………………………….
………………………………………………………………………………………………
………………………………………..
on…………………………………………………………………………..20………….

in respect of an industrial design disclosed in an application for registration of that, industrial
design, having a :

Filing Date:………………………………………….
Priority date:…………………………………………

Being an industrial design for:

Class Number
Products
…………………………..
………………………
………………………….
………………………

created by:

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