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Form D15
Request for certificate or copy
(Sections 9, 40 - Regulation 48)
(Lodge in duplicate)
Date of lodgement:
Design application/registration No
Full name(s) of applicant(s):
In terms of the following sections and/or regulations:
(a)
(b)
section
regulation
the applicant hereby requests the following:
1.
………… copy/copies of the following document(s):
2.
Certificates) for use in:
Documents, if any, lodged in support of the request:
Date:
_____________________________
APPLICANT/APPLICANT'S AGENT
Address for service:
FOR OFFICIAL USE ONLY
The above
copy/copies
certificate(s)
are attached.
Official date stamp