(a) Name of Registered Proprietor. (b) Address of Registered Proprietor. (c) Name and nationality of Assignee, etc. (d) Address of Assignee, etc. (e) Name of Assignee, etc. (f) Business address of Assignee, etc.
(g) Insert full particulars of instrument, if any.
(h) Signature of Retistered Proprietor. (i) Signature of Assignee, etc.
DESIGNS FORM 13
Patents and Designs Act
JOINT REQUEST BY REGISTERED PROPRIETOR AND AssIGNEE OR MORTGAGEE OR LICENSEE, ETC., TO ENTER THE NAME OF AsSIGNEE, ETC., IN THE REGISTER OF DESIGNS UNDER REGULATION 41.
We, (a).................................................................., of (b). .................................................. ..............
and (c).................................................................., of (d)....................................................................................
hereby request under regulation 41 of the Designs Regulations that the
name of (e)..................................................................................................................................................................
carrying on business at (/)........................................................................................................................
....................................................................................may be entered in the Register of Designs
as proprietor (or mortgagee, or licensee) of the Design No.....................................
in Class..........................................
The assignee (or mortgagee, or licensee) is entitled to the said design or
an interest therein in pursuance of (g)................................................................................................
The address for service in Guyana of the assignee (or mortgagee or
licensee) is..............................................................................................._.................................................................
Dated.............................. day of........................................., 19............
(h) ..........................................................................................
(i) .............................................................._.................:........
To the Registrar of Patents, Designs and Trade Marks, The Patents Office,
Deeds Registry, Georgetown.
N.B.-The instrument under which the assignee, mortgagee or licensee, etc., claims should accompany this Form.
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