Form 19

The Patents and Design Act, 2020

(Section 111(2))

Request for a Certified or Uncertified Copy from the Register or File

1. Your reference :

2. IP Type Number

Select the appropriate option
Application or Registration Number

3. Applicant's Detail

Opposition/Application for revocation number(if applicble):
6. Full Name of each Applicant *:
4. What do you want a copy of?
5. How many copies do you need?*:
6. State the type of certificate or copy you want and, if it is needed to support application made outside of Jamaica, list the countries concerned *:
Nationality :
7.Persons making the request *:
7. Service Address:
8. Persons to Receive Copies:
Address:
Application Fee $:
Processing Date:
9. Contact's Name *:
Contact's Address:
Contact's Telephone Number:
Contact's Email Address:
Contact's Fax Number:
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.