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?:
5. Name or Address to be corrected:
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.