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Form D9
Request for classification
(Section 15 - Regulation 9)
(Lodge in duplicate)
Date of lodgement:

Application No.:

Full names) of applicant(s):

Type of design

Part A

Part F

Articles to which design is to be applied:

In terms of section 15 (4) and regulation 9 (2) the applicant hereby requests the registrar to
determine the classes) in which a design applications) is(are) to be filed.
Documents, if any, lodged in support of the request:

Date:
_______________________________________
APPLICANT/APPLICANT'S AGENT
Address for service:

FOR OFFICIAL USE ONLY
The determination of the registrar is as follows:
Class:

Official date stamp
…………………….
.

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