Regulations > Schedules > Schedule 2 : Forms

Form D1

Application and acknowledgement

(Lodge in duplicate)

THE GRANT OF A DESIGN REGISTRATION IS HEREBY REQUESTED BY THE UNDERMENTIONED APPLICANT ON THE BASIS OF THE PRESENT APPLICATION

Application No.:………………………………………………………………………………..

Full name(s) of applicant(s):……………………………………………………………...…..

Address(es) of applicant(s):…………………………………………………………………..

Articles to which design is to be applied:

Type of design

Part A

Part F

Class: Release date (if applicable):

PRIORITY CLAIMED	COUNTRY	NUMBER	DATE

THIS APPLICATION IS ACCOMPANIED BY THE FOLLOWING:

		1.		Register sheet on Form D2 (in duplicate)

		2.		Declaration and power of attorney on Form D3

		3.		Representations: Sheets: Copies:

		4.		Publication particulars on Form D8 (in duplicate)

		5.		Representation for publication

		6.		Certified priority document(s)

		7.		Translation of priority document(s)

		8.		Assignment of priority rights

		9.		Request for classification on Form D9 (in duplicate)

		10.		Definitive statement and explanatory statement

Date:

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

APPLICANT/APPLICANT'S AGENT

Address for service:

Official date stamps

Received:

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