1662 Supplement to Official Gazette [27th October 2014] If a joint owner, give other owners names, addresses, nationality and passport num ber &&& Signatures............................................... Dated: ............................................... If claiming a right of priority under section 44(7) of the Act enclose a copy of the earlier certificate as corrected by the office with which it was filed: ..................................................... PART II DETAILS OF DESIGN. Title The following are attached (Three copies not exceeding 10cm x 15cm) (i) Two dimensional design One or two photographs or gr aphic Representations (ii) Three dimensional design One or two drawings or tracings. PART III PRODUCT The kind of products for which the industrial design is to be used: Class: PART IV Claim of Priority (if any) Country: Application No. Filing Date PART V Address for service in Seychelles: ...................................................................................................... ............................................................................................................................................................. .............................................................................................................................................................. PART VI TO BE COMPLETED ONLY IF AN APPLICANT HAS AN AGENT Name of agent Address of agent Telephone Fax E -mail Name of representative for service Address in Seychelles of representative for service If an applicant has no place of business in Seychelles, the name and address of a REPRESENTATIVE FOR SERVICE in Seychelles must be provided. The Agents Power of Attorney with its scope should be included.