Other
documents
(identify):…………………….……………………………………………………………………
……………..
______________________________________________________________________________
_____________________2.
APPLICANT(S):
Name
………………………………………………………………………………………………
…………………….
………………………………………………………………………………………………
…………………….
Address
………………………………………………………………………………………………
…………………….
………………………………………………………………………………………………
…………………….
______________________________________________________________________________
____________________
3.
DECLARATION:
*I/We declare that the above-identified application be withdrawn under section 14(7) of
the Patents, Industrial Designs and Trademarks Act 2002.
4.
……………………………………
SIGNA
TURE……………………………….
(Date)
*(Applicant/Agent)
_______
*Delete whichever is not applicable