1664 Supplement to Official Gazette [27th October 2014] If an applicant for renewal 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 is attached herewith. Name of representative for service Address in Seychelles of representative for service Date: ................................... Signature of Registered Owner or Agent:....................................... ——————��� FORM ID-3 [Regulation 13(2)] Industrial Property act, 2014 Industrial Property (Industrial Design) Regulations, 2014 For Official use. Application Reference:............................. Date received:............................................ APPLICATION FOR A NON ­ VOLUNTARY LICENCE Fee paid:..................................................... Form ID-3 TO: The Registrar General Republic of Seychelles I hereby request the Registrar to grant me a Non-Voluntary Licence. Applicants Name: Address: Telephone: Fax: E -mail address: Evidence for application as set out in sections 23 and 24(2) of the Industrial Property Act, 2014, is enclosed. Reference number or title for which the non-voluntary licence is sought: Scope and duration being sought: Agent (if any) Address: Telephone: Place and date Fax: E -mail address: ........................................................................... Signature of Ap plicant or Agent