FORM 23



DESIGNS ACT, 1911 Notice of alteration of name or an address for service in the Register of Designs Rule 53

[FEE Rs.5]

In the matter of Design No...................................Class.......................................................

I (or We) 1..............................................................................................

Here by request that....................name, address (or........................................address for service) now upon the Register of Designs may be altered to2..........................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 (in full) name and address.

2. Insert name or full address.