Click Here & Upgrade PDF Complete Expanded Features Unlimited Pages Documents Form D12 Application to correct and/or amend a design application or registration (Sections 26, 27 - Regulation 41) (Lodge in duplicate) PART I Date of lodgement: Design application/registration No Full name(s) proprietor: of applicant(s) registered Articles to which design is to be applied: PART II The applicant hereby requests the correction or amendment of the above design application/registration in terms of section 26, as shown on the attached relevant copies. The applicant hereby applies to amend the above design application/registration in terms of section 27, as shown on the attached relevant copies. The reasons for making the correction/amendment are as follows: Date: ______________________________ APPLICANT/APPLICANT'S AGENT Address for service: The above request is hereby allowed/refused. Yes The application is to be published in the journal No Part I To be published Part II Official date stamps …………………….

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