IPINIlINGA/DIl Page 17 SECOND SCHEDULE (Rule 2) FORMS Patents and Designs Act Cap. 344. FORM DESIGNS FEE N4.00 NO.2 APPLICATION FOR REGISTRATION OF DESIGN EXCEPT FOR TEXTILE ARTICLES Application is hereby made for registration of the accompanying design in the name of (a) ~ of . who claim(s) to be the proprietor(s) thereof. The design is to be applied to (b) J .. (c) The design has been previously registered for one or more other articles under No. . . (d) 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. My (or Ourjaddress for service in Nigeria is .. (e) . Signatu re 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 representations 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) Here state the article to which the design is to be applied as shown in the representations. (c) and Cd) Strike out one or both paragraphs if inapplicable. (e) Signature. I

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