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

Regulations

Purchase

Form D5

Late lodging of documents

(Regulation 23)

(Lodge in duplicate)

Application No.:		Date of lodgement

Full name(s) of applicant(s):

The following documents not accompanying the application as lodged or required by the Registrar are hereby submitted:

	1.	Representations: Sheets: Copies:

	2.	Publication particulars on Form D8 (in duplicate

	3.	Representation for publication

	4.	Certified priority document(s)

	5.	Translation of priority document(s)

	6.	Assignment of priority rights

	7.	Declaration and power of attorney on Form D3

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

Date:

_____________________________

APPLICANT/APPLICANT'S AGENT

Address for service:

______________________________________________________________________________________________________________________________________

FOR OFFICIAL USE ONLY

Late lodging of documents is acknowledged

Official date stamp

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