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Form 6
The Patents and Design Act, 2020
(Sections 18(1),26(1),27,110(1))
Application to Amend a Patent or Utility Model or Application therefor
1. Your Reference :
2. Patent/utility model application or patent/utility model number(s):
3. Full Name of the Applicant or each applicant or proprietor(as they appear currently on the register or application(s)): *:
Address of Applicant *:
4. What kind of application do you want to make?:
(i) Section 110(1) - an error in the name or address (or other clerical error such as a typographical error);
(ii) Section 18 or 27) - the ammendment of an aplication ore registration, or any document filed in connection with registration, to reflect a change that has ocurred in a name or address (such as change in the applicant's name);
(iii) Section 26(1) - the amendment of the specification of a patent;
5. Name or Address to be corrected:
Name
Address
6. New Name or Address:
7. Name of Agent (if applicable):
8. Registration Number (if known):
9. Application Fee $:
Processing Date:
10. Contact's Name *:
Contact's Address:
Contact's Telephone Number:
Contact's Email Address:
Notes
C. You may us this form to initiate proceedings under more than one provision or in respect of more than one invention, patent application or patent, as long as the same cause of action is involved. in this case, you need to pay only one fee.