Click Here & Upgrade PDF Complete Expanded Features Unlimited Pages Documents Form D13 Application for the voluntary surrender of a registered design (Section 34 - Regulation 42) (Lodge in duplicate) Design No.: Date of lodgement.: Full name(s) of registered proprietor(s): Class: Type of design Part A Part F I/We ....................................................................................................................................... ....................................................................................................................................... hereby declare that1. (a) I/we am/are the proprietor(s) mentioned above; 1. (b) I/we am/are authorised by the proprietor(s) to make this offer; 2. I/we hereby offer to surrender the above-mentioned design registration; 3. no action for infringement or proceedings for revocation of the design are pending except as set out below; and ................................................................................................................ ................................................................................................................ 4. the reasons for making this offer are as follows: ................................................................................................................ ................................................................................................................ Date: ________________________________ APPLICANT/APPLICANT'S AGENT Address for service: FOR OFFICIAL USE ONLY The above offer to surrender has been allowed/refused Official date stamp …………………… …..