IP/N/I/NGA/D/l Page 18 Patents and Designs Act Cap. 344. NO.3 made of lace FORM DESIGNS FEE N84.00 if APPLICATION UNDER SECTION 15 FOR REGISTRATION OF DBSIGN EXCEPT FOR TEXTILE ARTICLES" Application is hereby made for the registration of the accompanying design in the name of (a) . •••••••• ••••••••••••••••• II ••••••• ,. ••••••••••••••••••••••• It . of • .. . • • • • • .. • • • • .. • • • • • • .. • • • • • • • • • • • • • • • • • • • • ~ .. • • • • • • • • • • • • • • • III • • • • • • • .. • • • • • • • • • • • • " • • • • • • •••••••• who claimfs) to be the proprietor(s) thereof (b) •••••••••• * . " ••••••••••••• ............................................. . The design is to be applied to a (c) .. (d) The design has been previously registered for one or more other articles under No. . . (e) The design consists of the design previously registered under No . ..... ....... with modifications or variations not sufficient to alter the character, or substantially to affect the identity thereof. Application for protection of the design has been made in if) . ...................... .. .. . . . . . .. on the following . official date, viz.: (g) Such application is the first application made" in a Convention country in respect of the design, whether by the applicant(s) or by any person of whom he (they) claim(s) to be the legal representative(s) or assignee(s), and I(\ve) request that the design may be registered as of the date (g) .. My (or Our) address for service in Nigeria is . (h) DATED this . day of 19 .. To The Registrar of Patents and Designs, Designs Registry, Federal Ministry of Trade, Federal Capital Territory, Abuja, Nigeria. N.B.-Three identical represcn rations or specimens of the design should accompany this Form, and, except in the case of an application in respect of wall paper or lace, it should further be accompanied by a statement of the features of the design. (a) Here insert (in full) the name, address and nationality of the applicant or applicants. (b) If the applicant is not the person who made this application in the Convention country, the words "by virtue of'. followed by particulars of the instrument under which he claims. should be inserted here. (c) Here. state the article to which the design is to be applied as shown in the representations. (d) and (e) Strike out one or both paragraphs. if inapplicable. (f) Here insert the name of the Convention country in which the first application was made. (g) Here insert the official date of the first application in a Convention country. (h) Signature.