1662

Supplement to Official Gazette

[27th October 2014]

If a joint owner, give other owners names, addresses, nationality and passport num ber &&&
Signatures............................................... Dated: ...............................................
If claiming a right of priority under section 44(7) of the Act enclose a copy of the earlier certificate
as corrected by the office with which it was filed: .....................................................
PART II
DETAILS OF DESIGN.
Title
The following are attached (Three copies not exceeding 10cm x 15cm)
(i) Two dimensional design
One or two photographs or gr aphic Representations
(ii) Three dimensional design
One or two drawings or tracings.
PART III
PRODUCT
The kind of products for which the industrial design is to be used:
Class:
PART IV
Claim of Priority (if any)
Country:
Application No.
Filing Date
PART V
Address for service in Seychelles: ......................................................................................................
.............................................................................................................................................................
..............................................................................................................................................................
PART VI
TO BE COMPLETED ONLY IF AN APPLICANT HAS AN AGENT
Name of agent
Address of agent
Telephone

Fax

E -mail

Name of representative for service
Address in Seychelles of representative for service
If an applicant has no place of business in Seychelles, the name and address of a
REPRESENTATIVE FOR SERVICE in Seychelles must be provided. The Agents Power of
Attorney with its scope should be included.

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