Form 9

The Patents and Design Act, 2020

(Section 58(1),80,98)

Application for revocation

1. Your Reference :
2. Patent/utility model/design application or patent/utility model/desin registration number(s)(if known) to which the proceedings relate
3. Full Name of the Applicant(s) or proprietor(s)*:
4. Address of Applicant *:
Email of Applicant *:
5. Under which provision are you applying for revocation:
6. Grounds of Revocation:
7. Name of your agent (if applicable):
Application Fee $:
Processing Date:
8. Contact's Name *:
Contact's Address:
Contact's Telephone Number:
Contact's Email Address:
Notes
E. You may us this form to initiate proceedings under more than one provision or in respect of more than one patent, utility model or registered design, as long as the same cause of action is involved. in this case, you need to pay only one fee.