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

Regulations

Designs Regulations, 1999

Schedule 2 : Form D4

 

 

Form D4

Application or request to the Registrar

(Regulation 24)

(Lodge in duplicate)

 

 

Application No.:


Date of lodgement




 

 

Full name(s) of applicant(s):

 

 




 

 

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

 

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

 

 

The above application or request is hereby allowed / refused Reasons for refusal or conditions of allowance, if any: