Click Here & Upgrade PDF Complete Expanded Features Unlimited Pages Documents Form D5 Late lodging of documents (Regulation 23) (Lodge in duplicate) Date of lodgement: Application No.: Full names) of applicant(s): The following documents not accompanying the application as lodged or required by the Registrar are hereby submitted: 1. Representations: Sheets: Copies: 2. Publication particulars on Form D8 (in duplicate) 3. Representation for publication 4. Certified priority document(s) 5. Translation of priority document(s) 6. Assignment of priority rights 7. Declaration and power of attorney on Form D3 8. Request for classification on Form D9 (in duplicate) Date: ______________________________ APPLICANT/APPLICANT'S AGENT Address for service: FOR OFFICIAL USE ONLY Late lodging of documents is acknowledged Official date stamp ……………………

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