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11.

Date:……………………….
Signature:……………………………………….……..

***(Applicant/Agent)

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*

The Regulations governing the use of the Collective Mark are attached.

**

Use this box for any additional information to be furnished.

***

Delete whichever is not applicable.

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SUPPLEMENTAL BOX

Ann

FIFTEENTH SCHEDULE
(regulation 47)

THE INDUSTRIAL PROPERTY OFFICE
REPUBLIC OF MAURITIUS

Select target paragraph3