Annex
SUPPLEMENTAL BOX

THIRD SCHEDULE
(Regulation 22)
THE INDUSTRIAL PROPERTY OFFICE
REPUBLIC OF MAURITIUS

THE PATENTS, INDUSTRIAL DESIGNS AND TRADEMARKS ACT 2002

DECLARATION OF WITHDRAWAL OF APPLICATION

To:

The Controller
Industrial Property Office
Ministry of Foreign Affairs, International Trade & Cooperation
Port Louis

______________________________________________________________________________
_____________________Please submit this Form (in duplicate)
Applicant's or Agent's file reference:…………………………………………………………
______________________________________________________________________________
_____________________1.

Patent Application No:………………………….

Filing Date:…………………………………..

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