FORM 26



DESIGNS ACT, 1911 Application for entry of a mortgage or licence in register of designs [Section 63]

FEE See note below : .

I (or We) 1 ......................................................................................... hereby apply that you will enter in the register of designs a notice of the following interest.

I/We claim to be entitled 2....................................................................................... to an interest.

.................................................................................................in the registered design(s)

No.(s)*.. ............ .....Class ................... by virtue of 3 ........................ .....And in proof whereof I/we transmit the accompanying4. .................................. with an attested copy thereof.

My (or Our) address for service in India is:

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

(Signed) 5.....................,.............

To

The Controller of Patents and Designs,

The Patent Office, Calcutta.

Note: *If the document is presented for registration in the Patent Office within six months from date of acquisition of interest:

In respect of one design ........ ....Rs. 25

For each additional design .............Rs. 10

(b) If the document is presented for registration in the Patent Office after the above period:

In respect of one design ..........Rs. 50

For each additional design ...........Rs. 10

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

2. Insert the nature of the claim, whether by way of mortgage or licence.

3. Specify the particulars of such document, giving its date and the parties to the same and showing how the claim here made is substantiated.

4. Insert the nature of the document.

5. State in what capacity the signatory is acting.