Designs Act, 1993 (Act No. 195 of 1993)RegulationsDesigns Regulations, 1999Schedule 2 : Form D4 |
Form D4
Application or request to the Registrar
(Regulation 24)
(Lodge in duplicate)
Application No.: |
Date of lodgement |
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Full name(s) of applicant(s): |
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In terms of the following sections and regulations:
| (a) | section |
| (b) | regulation |
the applicant hereby requests the following:
Documents, if any, lodged in support of the request:
Date:
______________________________________________
APPLICANT/APPLICANT'S AGENT
Address for service:
______________________________________________________________________________________________________________________________________
FOR OFFICIAL USE ONLY |
Official date stamp
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The above application or request is hereby allowed / refused Reasons for refusal or conditions of allowance, if any: