FORM 30





DESIGNS ACT, 1911



Rectification of Register [Section 64]



FEERs.50

I/We1.......................................................... hereby request that the register of designs may be rectified in the following manner in respect of design No.2 .............................. dated the ..............................................my/our reasons for making this application are as follows:

I/We declare that the facts and matters stated herein are true to the best of my/our knowledge, information and belief.

My/ our 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 name, address and nationality.

2. Insert number and date of design.