1664

Supplement to Official Gazette

[27th October 2014]

If an applicant for renewal 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 is attached herewith.
Name of representative for service
Address in Seychelles of representative for service
Date: ...................................

Signature of Registered Owner or
Agent:.......................................

———————
FORM ID-3
[Regulation 13(2)]
Industrial Property act, 2014
Industrial Property (Industrial Design)
Regulations, 2014

For Official use.
Application Reference:.............................
Date received:............................................

APPLICATION FOR A NON ­
VOLUNTARY LICENCE

Fee paid:.....................................................

Form ID-3
TO:
The Registrar General
Republic of Seychelles
I hereby request the Registrar to grant me a Non-Voluntary Licence.
Applicants Name:
Address:
Telephone:
Fax:
E -mail address:
Evidence for application as set out in sections 23 and 24(2) of the Industrial Property Act, 2014,
is enclosed.
Reference number or title for which the non-voluntary licence is sought:
Scope and duration being sought:
Agent (if any)
Address:
Telephone:
Place and date

Fax:
E -mail address:
...........................................................................
Signature of Ap plicant or Agent

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