FORM 17



DESIGNS ACT, 1911



1[FEE Rs.30]

DESIGNS ACT, 1911



Application for Registration of Design to be applied to a Set Section 43



[FEE Rs.30]



You are hereby requested to register the accompanying design for a set in class.............................in the name of...................... who claim(s) to be the proprietor(s) 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...........under No.................................

Address for service in India is7

Dated this............................day of .............................19....................................

(Signed)……..............

To

The Controller of Patents and Designs,

The Patent Office.

Calcutta

1. Subs. by Designs (Amendment) Rules, 1985 (w.e.f. 6th June. 1985).

2. Insert numbers of class

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

4. State whether drawings, photographs, tracings or specimen

5. State the trade description of each of the articles, comprised in the set

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

7. Unless an address for service in India is given, the request may not be considered.