FORM 15



DESIGNS ACT, 1911 Application for Registration of designs Section 43



FEE Rs. 30

You are requested to register the accompanying design in Class No................................................... In the name of....................................... who claims to be the proprietors) thereof. Four exactly similar....................................of the design accompany this request. The design Is to be applied to....................................................................... The design has been previously registered in Class(es)...........................under no………………………………………...

Address for service in India is:.......................Dated this................. day of............................19.........

Signed........................................................................................



To

The Controller of Patents and Designs.

The Patent Office,

Calcutta

1. Insert number of class.

2. Insert (in full) name, address and nationality.

3. State whether drawings, photographs, tracings or specimens.

4. Insert name of article or articles to which the design is to be applied.

5. Strike out these words if no previous registration has been effected.

6. Unless an address for service in India is given, the request may not be considered. Refer rule 4