Date:…………………………………
Signature:…………………………………………..
*(Applicant/Agent)

________
*Delete whichever is not applicable.

SIXTEENTH SCHEDULE
(regulation 53)

THE INDUSTRIAL PROPERTY OFFICE
REPUBLIC OF MAURITIUS

THE PATENTS, INDUSTRIAL DESIGNS AND TRADEMARKS ACT 2002
CERTIFICATE OF REGISTRATION OF A MARK

REPRESENTATION OF MARK/COLLECTIVE MARK

______________________________________________________________________________
_____________________

Registration No:

………………………………………….

To:
………………………………………………………………………………………………………
……………………………………..

Select target paragraph3