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Back to Revised Laws of Saint Lucia (2023)

Schedule 2

FORMS
(Regulation 8(1))
FORM 1
AUTHORISATION OF AGENT
(Geographical Indications Act)
I/We^* Fill in full name and address of applicant ____________________________________ hereby appoint the following attorney-at-law as my/our agent in respect of an application for a Geographical Indication entitled^† Insert title/name of Geographical Indication ___________________, and empower the appointed agent to sign and amend the application, to prosecute it, to receive the registration certificate, and to cancel or rectify the registration, and ratify any act done by the agent in respect of the application or subsequent registration.
This authorisation revokes all previous authorisations.
Name of agent:
Address for Service
Mailing address
Tel Number
Fax Number
E-mail address
Dated this ................................... day of .............................................. 20
Signature:^‡ To be signed by applicant and bear seal of company or partnership if appropriate ________________________________________________
(Please print name of Signatory)

FORM 2
(Regulation 10(1))
APPLICATION FOR REGISTRATION OF GEOGRAPHICAL INDICATION
(Geographical Indications Act)
*For official use only*
Application #:
The Applicant(s) request(s) the registration of a geographical indication in respect of the following particulars:
1.	Applicant(s)
	(Additional information is contained on supplemental page)¹ Indicate the numbers contained on the supplemental pages in Roman numerals (e.g. I Applicants)
	Name:
	Address
	Mailing Address
	Nationality/Principal place of business			Residence
	Telephone #		Fax #			E-mail
	Capacity in which application is being used:
2.	Authorisation of agent is
		Attached
		will be filed within 2 months from the filing of this form
3.	Geographical Indication
	The geographical indication for which registration is sought is the following:
4.	Geographical area
	The following is the demarcation of the territory of the country, or region, or locality in that territory, to which the geographical indication applies, and from which the goods for which the geographical indication is used originate:
		Accompanies this Form
		Is contained on a supplemental page
5.	Products
	The goods for which the geographical indication is used are the following:
6.	Quality, reputation or other characteristics
	The quality, reputation or other characteristics of the goods for which the geographical indication is used, and any conditions under which the indication may be used are the following:
7.	Signature (s) ______________________				________________
	Applicants/Agent				Date
	(Print name of Signatory)
TO BE FILLED IN BY THE REGISTRAR
1.	Date application received
2.	Date of receipt of corrections and later filed papers completing the application

FORM 3
(Regulation 16(1))
NOTICE OF OPPOSITION
(Geographical Indications Act)
1.	IN THE MATTER OF
	Application No _________________ for Registration of Geographical Indication
	Filing Date of Application:
	Published in the Gazette dated the ............ day of 20 in Vol. ......... No ......... Page
2.	OPPONENT(S)¹ If there is more than one person or competent authority, together, opposing the registration of the geographical indication, the data concerning each opponent must appear on a supplementary page if the space provided is not sufficient. Indicate the numbers continued on the supplementary page by their numerals and titles.
	Name (s)
	Address (es)
	Additional information is contained on a supplemental page
	Address for service in Saint Lucia² Where an attorney-at-law has been appointed, the address for service of the attorney-at-law shall be treated as the address to which communications shall be transmitted. (Regulation 2292))
3.	GROUNDS FOR OPPOSITION
	The grounds for opposition are as follows:
	Additional information is contained in the supplemental page
	Supporting evidence accompanies this form
4.	AGENT
	The following agent has been appointed by the applicant(s) in the Authorisation of agent
		Accompanying this form
	Name:
	Address:
	Tel #		Fax #		E-mail
5.	NAME AND SIGNATURES
	___________________________			____________________
	Signature (s)			Opponents(s)/ Agent¹ Type name(s) under signature and delete whichever does not apply. The typed names and signatures of all opponents should appear (one below the other)

FORM 4

(Regulation 17)

SAINT LUCIA

CERTIFICATE OF REGISTRATION OF GEOGRAPHICAL INDICATION

(Geographical Indications Act)

I .............................................................................. Registrar of Companies and Intellectual Property in the State of Saint Lucia hereby certify in accordance with Section 5(5) of the Geographical Indications Act and regulation 17(4) that a geographical indication having the Registration No. .......................................................... has been registered in the name(s) of:

Name(s):

Address(es):

on: ______________________________ in respect to a geographical indication

(date)

registered pursuant to an application filed on: ______________________________

(date)

being a geographical indication used for: _________________________________

(goods)

and which applies to: _____________________________________________

(geographical area)

A description of the quality, reputation or other characteristics of the goods for which the geographical indication is used and any conditions under which the indication may be used accompanies this certificate.

Dated: _______/______________/______

________________________

Registrar of Companies &
Intellectual Property

FORM 5
(Regulation 20)
REQUEST TO REFUSE OR INVALIDATE REGISTRATION OF MISLEADING MARK – SECTION 17 OF THE ACT
(Geographical Indications Act: Section 17 (4))
1.	IN THE MATTER OF:
	Application for Registration/Registration No^* Delete whichever does not apply of Mark:				Filing/Registration^† If there is more than one person or competent authority, together, opposing the registration of the geographical indication, the data concerning each opponent must appear at number 2. If the space provided is not sufficient on the supplementary page. Indicate the numbers continued on the supplemental page by their numerals and title. Date:
	Application/Registration^* Type the name(s) under signature and delete whichever does not apply Published in the Official Gazette

	(Vol.)		(No.)			(Page)		(Date)
2.	APPLICANT (S)^†
	Name(s):
	Address(es):
	Additional information is contained on the supplemental page
	Address for service in Saint Lucia:
3.	GROUNDS FOR REQUEST
	The grounds for request to refuse or invalidate the registration of the above identified mark are as follows:
	Additional information is contained on the supplemental page
	Supporting evidence accompanies this form
4.	AGENT
	The following attorney-at-law has been appointed by the applicant in the Authorisation of Agent:
	Accompanying this Form
	Name:
	Address:
	Tel #	Fax #				E-mail
5.	NAME AND SIGNATURES
	___________________			_____________________			_________
	Signature(s)			Opponents(s)/ Agent*			Date

FORM 6
(Regulation 21(1))
REQUEST TO REFUSE OR INVALIDATE REGISTRATION OF A MARK CONFLICTING WITH A GEOGRAPHICAL INDICATION FOR WINES AND SPIRITS
(Geographical Indications Act: Section 18)
1.	IN THE MATTER OF:
	Application for Registration/Registration No^* Delete whichever does not apply of Mark:					Filing/Registration^† If there is more than one person or competent authority, together, opposing the registration of the geographical indication, the date concerning each opponent must appear at number 2. If the space provided is not sufficient on the supplementary page. Indicate the numbers continued on the supplemental page by their numerals and title.
	Date:
	Application/Registration^* Type the name(s) under signature and delete whichever does not apply Published in the Official Gazette

	(Vol.)		(No.)		(Page)			(Date)
2.	APPLICANT(S)^†
	Name(s):
	Address(es):
	Additional information is contained on the supplemental page
	Address for service in Saint Lucia:
3.	GROUNDS FOR REQUEST
	The grounds for request to refuse or invalidate the registration of the above-identified mark are as follows:
	Additional information is contained on the supplemental page
	Supporting evidence accompanies this form
4.	AGENT
	The following Attorney-at-law has been appointed by the applicant in the Authorisation of Agent:
		Accompanying this Form
	Name:
	Address:
	Tel #	Fax #					E-mail
5.	NAME AND SIGNATURES
	__________________			__________________
	(Signature)			Applicant/Agent*