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Schedule 2
FORMS
Form D1
Application and acknowledgement
(Lodge in duplicate)
THE GRANT OF A DESIGN REGISTRATION IS HEREBY REQUESTED BY THE
UNDERMENTIONED APPLICANT ON THE BASIS OF THE PRESENT
APPLICATION
Application No.:………………………………………………………………………………..
Full names) of applicant(s):……………………………………………………………...…..
Addresses) of applicant(s):…………………………………………………………………..
Articles to which design is to be applied:
Type of design

Part A

Part F

Class: Release date (if applicable):
PRIORITY CLAIMED

COUNTRY

NUMBER

DATE

THIS APPLICATION IS ACCOMPANIED BY THE FOLLOWING:
1.

Register sheet on Form D2 (in duplicate)

2.

Declaration and power of attorney on Form D3

3.

Representations:

4.

Publication particulars on Form D8 (in duplicate)

5.

Representation for publication

6.

Certified priority document(s)

7.

Translation of priority document(s)

8.

Assignment of priority rights

9.

Request for classification on Form D9 (in duplicate)

10.

Definitive statement and explanatory statement

Sheets:

Copies:

Date:
…………………………………………
APPLICANT/APPLICANT'S AGENT

Address for service:
Official date stamps

Received:

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