LAWS OF MALAWI Patents Cap. 49:02 (Subsidiary) Patents Tribunal Rules Form D.T. No. 4 Section 30(1) Rule 11(1) THE PATENTS ACT CAP. 49:05 Fee :£3. Application under section 30 of the Act for Extension of Term of Patent T/We (1) 2... cece cence ence nee ee ence eee nee ne een ee een enae ene enee ene seeeeaeenenaengeneenaeene renege Hereby apply for an extension of the term of Patent No.................. for a period of 2) year(s), on the following ground 6) (2) Insert period for which extension is sought. (3) Here _ state briefly the nature of the grounds Dated this ...............ceeeeee eee | DY 0) 200 (4) To be signed by the applicant(s) or his/their legal practitioner. My/Our address for service in Malawi:- NOTE: (1) State full name and address’ of applicant(s). The application must be accompanied by evidence setting out fully the facts relied upon. The Registrar of the Patents Tribunal, P.O. Box 100 BLANTYRE 84

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