Designs Act, 1993 (Act No. 195 of 1993)

Regulations

Designs Regulations, 1999

Schedule 2 : Form D12
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Form D12

Application to correct and/or amend a design application or registration

(Section 26, 27 - Regulation 41)

(Lodge in duplicate)

 

PART 1

 

Design application/registration No

Date of lodgement



 

 

Full name(s) of applicant(s) registered proprietor:

 

 



 

 

Articles to which design is to be applied:

 

PART II

 

 

 

The applicant hereby requests the correction or amendment of the above design application/registration in terms of section 26, as shown on the attached relevant copies.

 

 

 

The applicant hereby applies to amend the above design application/registration in terms of section 27, as shown on the attached relevant copies.

 

The reasons for making the correction/amendment are as follows:

 

 

Date:

 

_____________________________________________

APPLICANT/APPLICANT'S AGENT

 

Address for service:

 

 

 

The above request is hereby allowed/refused.

Yes



The application is to be published in the journal

No

 

 

 

Part I

 

Official date stamp

 

...............................

To be published

Part II