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Form D2
Register of designs
(Lodge in duplicate)
Date of lodgement:

Application No.:

Date of registration:

Date of publication:

Classification:

Full names) of applicant(s):

Address(es) of applicant(s):

Type of design

Part A

Part F

Release date (if applicable):
Applicant substituted:

Date registered:

Assignee(s):

Date registered:

PRIORITY CLAIMED

COUNTRY

NUMBER

DATE

Articles to which design is to be applied:

Address for service:
Year

Date applied for

Date paid

Advertised

Renewals
Receipt

Restoration
Opposed

Penalty

Restored by

Date
restoration

of

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