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APPLICATION FOR REGISTRATION OF DESIGN
Name of Firm/Company/Applicant
State Full Name & Address
State Whether Drawings (Soft Copies)
Tracing or Specimen
Insert the Name of the Article
Strike out these words if Previous Registration has been Affected
The Design has been previously resisted
in class (es)
Under No.
State Whether Design Published
 Yes No
Publication Date
Date of Assignment
Electronic Signature as Full Name :
 

 
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