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FORM Completed Design IPR

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0% found this document useful (0 votes)
50 views2 pages

FORM Completed Design IPR

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM 1

[THE DESIGNS ACT, 2000]


APPLICATION FOR REGISTRATION OF DESIGNS (See sections 5 and 44)
(For Fee see First Schedule)
A
A
Insert number of class You are requested to register the accompanying in Class No.
B
Insert (in full) address and nationality “C” in the name of SHANTANU KHALANGRE, SUNNY BHAVSAR
B
HOUSE NO. 242/A/1, MADNE NAGAR, NEAR BHISE HOSPITAL, OLD
RENAPUR NAKA, LATUR, MAHARASHTRA-411006, Indian who claim(s)
to be the proprietor(s) thereof.

B1
Category of applicant [Please tick () for the Natural Person () Start-up ( ) Small Entity ( )
appropriate category] Others ( ) B1

C State whether drawings, photographs, Four exactly similar c ....................................of the design accompany their
tracings or specimens.

request.
D D
Insert name of article or articles to which the The design is to be applied to NA
design is to be applied or state trade
description of each of the articles contained in
the set

E Strike out these words if E The design has been previously registered in class(es)…… under

previous registration has No……………………NA………………………………….


been effected. Details of first application in a convention country or
group of countries or inter-governmental organisation.
i. Name of the country/inter-governmental organization….
ii. Date of filing……………NA…………………
iii. Application number…………NA………………
iv. Name of the applicant ……………NA…………………
F Unless an address for service F Address for service in India

in India is given, the is……………………..NA…………………………………………


request may not be
……………………………………………………………………...
considered.
Email ID:[email protected]
Mobile No: 9529772573

Declaration:
The applicant claims to be the proprietor(s) of the design and that

G To be signed by the to the best of his knowledge and belief the design is new or
original.
applicant or by authorized agent.
Dated this 16 Day of October 2024
(Signed)G

TO THE CONTROLLER OF
DESIGNS, THE PATENT
OFFICE, NAGPUR
* Strike out the words if no previous registration or priority claim has been effected”.

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