FORM 16



DESIGNS ACT, 1911



1[FEE Rs.30]



Application for Registration of Design under Reciprocal Arrangements with the United Kingdom or other Parts of Her Majesty's dominions Section 78-A-Your are requested to register the accompanying design in Class No............................................In the name of............................................who claim(s) to be the proprietor (s) thereof.

Four exactly similar..........................of the design accompany the request.

The design is to be applied to..................................................................

The design has been previously registered in Class(es).........................................................under No……………………

Application has been made for the protection of the above design in Class.....................under No..........................in..............................on the following official date(s).

You are requested to register the said design under Sec. 78-A of the Act in priority to other applicants and to have the said date of the application in............................................... as the date of registration in India.

Address for service in India is ………………. …………………………………………..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 number of class.

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

4. State whether drawings, photographs, tracings or specimen

5. Insert name of article or articles to which the design is to be applied

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

7. Insert the name United Kingdom or the name of other parts of Her Majesty's Dominions