Application No.:

Date of lodgement

Date of registration

Date of publication

Classification

Full name(s) of applicant(s):

Address(es) of applicant(s):

Type of design

Part A

Part F

Applicant substituted:

Date registered:

Assignee(s):

Date registered:

PRIORITY CLAIMED

COUNTRY

NUMBER

DATE

Renewals

Year

Date paid

Receipt

Penalty

Restoration

Date applied for

Advertised

Opposed

Restored  by

Date of restoration

Amendments and rectifications, etc

Document

Date

Advertisement date

Opposition date

Allowance/refusal

Date

Licences, assignments, attachments, etc.

Nature

In favour of

Date registered

Date cancelled