IP/N/1/NGA/DII
Page 21
(d) and (e) Strike out one or both paragraphs, if inapplicable.
(f) Here insert the name of the Convention country in which the first application was
made.
(g) Here insert the official date of the first application in a Convention country.
(II) Signature.
FORM DESIGNS
FEE N4.20
No.6
Patents and Designs Act
Cap. 344
APPLICATION FOR COpy OF CERTIFICATE OF
REGISTRATION OF DESIGN
I (or We) have to inform you that the Certificate of Registration of
has been (a)
.
Design No
I (or We) therefore apply for the issue of a copy of such certificate (b)
(c)
DATED
this
,
.
day of
19
.
To The Registrar of Patents and Designs,
Designs Registry, Federal Ministry of Trade,
Federal Capital Territory, Abuja, Nigeria.
(a) Here state whether "lost" or "destroyed" or "cannot be produced" as the case may
be, and state in full the circumstances of the case which must be verified by statutory
declaration or affidavit.
(b) Here state interest possessed by applicant in the design.
(c) Signature and address.