Form 2

First Schedule (Section 12(2))

Subsequent declaration of rights of priority

1. Reference

Your Reference :

2. IP Type Number

Select the appropriate option
Application Number :

3. Applicant(s)

Name *:
Address *:
Telephone Number:
Email Address *:
TRN *:

4. Details of earlier application upon which right of priority is based:

Date of filing (day/month/year):
Priority Date (day/month/year):
Country:
Application Number:

6. Agents(s)

Name *:
Address:
Telephone Number:
Email Address:
Date (day/month/year):
Application Fee $:
Notes
A. This form shall be used to make a request for a subsequent decalaration of right of priority under the Patents and Designs Act after an application for registration has been filed.