No.5
Patents and Designs Act
Cap. 344.
APPLICATION FOR ANNUAL RENE\VAL OF
A REGISTERED PATENT
Patent No.
Application is hereby made for the renewal of the above-numbered
patent for a further period of ............. year(s) from the ............. day
of ........................................ 19 ...... .
The prescribed fee of N ....................................... has been paid.
PATENTS FORM

Sigllatllre and Designation
Patent No.

L

(To be completed in the Patent Office)
Due Date
Fee Paid
CERTIFICATE OF PAYMENT
OF RENE\VAL FEE
This is to certify that Patent, as
numbered above, was renewed
for a further period of one year
as from the due date, the P3Yment of the requisite fee having
been made.

Regis[rar of Patents and Designs
Patents B rallch,
Federal Ministry of Trade,
Federal Capital Territory, Abuja

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