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

Regulations

Designs Regulations, 1999

Schedule 2 : Form D18
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Form D18

Request for certificate or copy

(Section 23 - Regulation 35)

(Lodge in duplicate)

 

Design application/registration No

Date of lodgement



 

 

Full name(s) of registered proprietor:

 

 



 

 

Full address(es) of registered proprietor(s):

 

 



 

Class:

 

Type of design

Part A

Part F

 

 

1. I/we hereby apply for the restoration of the above-mentioned design registration.
2.(a) I am/we are the proprietor(s) mentioned above; or
2.(b) I am/we are authorised to represent the above-mentioned proprietor(s) in this application.
3. The circumstances under which the design registration lapsed and the grounds on which restoration is requested are set out in the accompanying affidavit(s).

 

Date:

 

APPLICANT/APPLICANT'S AGENT

 

Address for service:

 

 

 

FOR OFFICIAL USE ONLY

Official date stamp

 

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

 

1. Lodgement of this document/accompanying document(s) acknowledged.
2. The above application is to be published in the journal.
3. The above application has been allowed/refused.