Name:………………………………………………………………………………………………
…………………………….
Address……………………………………………………………………………………………
……………………………..
………………………………………………………………………………………………………
…………………………….
A copy of the reproduction of the industrial design
[…….] is affixed hereto
[……..] accompanies this Certificate
Dated
this………………………………………day
of…………………………………….20
…….
Signature………………………………..…
The Controller
Industrial Property Office
Ministry of Foreign Affairs,
International Trade & Cooperation
Port Louis
Republic of Mauritius
TWELFTH SCHEDULE
(regulation 41(1))
THE INDUSTRIAL PROPERTY OFFICE
REPUBLIC OF MAURITIUS