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Back to Revised Laws of Saint Lucia (2021)

Schedule 2

(Regulation 10)
FORMS
FORM 1
AUTHORISATION OF AGENT
I/We¹ Fill ⁱⁿ full name and address of applicant(s) .......................................................... hereby appoint the following attorney-at-law as my/our agent in respect of an application for an industrial design entitled² ^Insert title/name of industrial design ............................................., and empower the appointed agent to sign and amend the application, to prosecute it, to receive the registration certificate, to effect the renewal, and to withdraw or surrender the application or registration, and rectify 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
Name and Signature³ To ^be signed by applicant(s) and bear seal of company or partnership if appropriate: ..........................................................................

FORM 2
APPLICATION FOR REGISTRATION OF INDUSTRIAL DESIGN
For official use only
Application #:
The Applicant(s) request(s) that the accompanying industrial design(s) be registered in respect of the following particulars:
1.	Applicant(s)
	(Additional information is contained on supplemental page) _______________
	Name: ___________________________________________
	Address __________________________________________
	Mailing Address ______________________________________
	Nationality/Principal place of business ________			Residence __________
	Telephone # ______________________			Fax # ____________
2.	Authorisation of agent is
	_________	attached
	_________	will be filed within 2 months from the filing of this form
3.	Creator of industrial design(s)
	_________	The creator is the applicant
	If the creator is not the applicant
	Name of creator ______________________________________
	Address __________________________________________
	The statement justifying the applicant's right is attached. ________________
4.	Representations of the Industrial Design(s); Specimen(s)
	This Form is accompanied (in respect of each industrial design) by—
	_________	Four graphic representations
	_________	Four drawings or tracings
	_________	A specimen of the industrial design
5.	Products
	The kind of products for which the industrial design(s) is (are) to be used is (are) the following:
6.	Joint application
	The designs which are the subject of this application
	_________	Relate to the same set of composition of articles.
	Relate to the same class namely class No ______________ of the International Classification
7.	Deferred Publication
	The applicant(s) request(s) that the publication of the industrial design be deferred for a period of ________________ months¹ ^Insert requested period of deferment taking into account that section 6(8) the maximum period is 12 months. from the date of filing or, if priority is claimed, from the date of priority.
8.	Priority Claim (if any)
	The priority of an earlier application is claimed as follows:
	Country	Filing date(s)	Application No.
	The priority of more than one earlier application is claimed; the data is indicated on a supplemental page ____________________________________
	The certified copy of the earlier application
	_________	Accompanies the form
	_________	Will be furnished within 2 months of the filing of this form
9.	Signature (s) _____________________			______________
	Applicants/Agent² Type name(s) under signature and delete whichever does not apply.			Date
TO BE FILLED OUT BY THE REGISTRAR
1.	Date application received
2.	Date of receipt of corrections and later filed papers completing the application

(Regulation 17)

(Section 8(1))

FORM 3

CERTIFICATE OF REGISTRATION OF AN INDUSTRIAL DESIGN

I ____________________________ Registrar of Companies and Intellectual Property of the State of Saint Lucia hereby certify that an industrial design having the registration No. ____________________ has been registered to:

Name: _____________________________________________

Address: ____________________________________________

on _________ (date) ____________ in respect of an industrial design disclosed in an application for registration of that industrial design, having the following:

Filing date: ___________________________________________

Priority date: __________________________________________

being an industrial design for _____________________________ created by

Name: _____________________________________________

Address: ____________________________________________

A copy of the reproduction of the design accompanies this certificate.

The publication of the registration will be deferred, as requested until _____________² ^Insert date in accordance with section 6(8)¹ Where 2 or more designs are subject of the application, in accordance with section 6(7), ^certificates are to be issued separately for each design.

Dated this _________________ day of ________________ 20

________________________

Registrar
Companies and Intellectual Property

(Section 10(2) Regulation 18(1))

FORM 4

APPLICATION FOR RENEWAL OF AN INDUSTRIAL DESIGN

Industrial Design No:—

I/We ______________________ of _________________________

Name(s) and address (es)

the registered owner(s) of the Industrial Design No: _______________________

hereby apply for renewal of the said Design in accordance with section 10(2) (or 10(3)) of the Act.

Agent (if applicable): __________.______________________________

Name ________________________________________________

Address ______________________________________________

Dated this ______________ day of __________________, 20

Name and Signature: ________________________________________

Applicant / Agent

(Regulation 18(4))

FORM 5

CERTIFICATE OF RENEWAL OF INDUSTRIAL DESIGN

I, _______________________ Registrar of Companies and Intellectual Property hereby certify that Industrial Design No ________________ has been renewed under application for renewal filed ____________________

Date of renewal __________________________________________

Date of expiration __________________________________________

Name of Registered owner: ____________________________________

Address _______________________________________________

Products in respect of which industrial design registered __________

Witness my hand this ________ day of ____________ 20

________________________

Registrar
Companies and Intellectual Property

(Section 13 Regulation 20(1))
FORM 6
APPLICATION FOR CHANGE OF OWNERSHIP
1.	In the matter of:
	__________	Application for Registration of Industrial Design No.		Filing Date:
	__________	Industrial Design No.		Registration Date:
2.	Applicant(s)/owner(s)
	Name: ____________________________________________
	Address: ___________________________________________
3.	Request
	The Registrar is hereby requested to record the change of ownership of the above-identified __________________________________________¹ ^Indicate registered design or application² Delete whichever is inapplicable³ Delete whichever is inapplicable
	The present applicant(s) /owner(s) is/are identified above.
	The new applicant(s) /owner(s) is/are identified below.
4.	Applicant(s)/owner(s)
	Name: ____________________________________________
	Address: ___________________________________________
	Agent (if applicable) ____________________________________
	Nationality __________________________________________
	Principal place of business __________________________________
5.	Additional information
	The following items accompany this Form
	___________	The original or a certified copy of the document evidencing the change of ownership, signed by or on behalf of the parties
	___________	Other documents evidencing this change in ownership (specify)
	___________	Other (specify)
6.	Names and Signatures
	________________________		New Applicant(s)/New owner(s)/ Agent
	________________________		Date
	________________________		Applicant(s)/ Owner(s)/ Agent

(Regulation 35(2))

FORM 7

REQUEST FOR CERTIFICATE OF THE REGISTRAR IN RELATION TO AN ENTRY, MATTER OR THING

IN THE MATTER OF¹ These words ^matter be altered to suit other circumstances (e.g. an application for change of name)

I/We ____________________________________________ hereby

(insert name and address)

request the Registrar to furnish me (us) with ________________________² Here set out the particulars that the Director is required to certify

Dated this ________________ day of ________________ 20

_____________________________________________³ Signature(s) ^with full names typed below

Name and Signature

_____________________________________________⁴ Address

To:

The Registrar

Registry of Companies and Intellectual Property

Saint Lucia

FORM 8
CHANGE OF NAME/ADDRESS
I/We ______________________________________ the owner(s) of the
(insert name and address)
application for registration of an industrial design (or the registered design identified below) wish to have recorded a change of name/address to
___________________________________________________
(insert new name /address)
Registration No. __________________________________________
Date registered __________________________________________
Date of application filed ______________________________________
Title of design ___________________________________________
Agent (if applicable) ________________________________________
Signed:	(signature of owner(s)/agent)
	(Name of owner(s)/ agent)
Authorisation of Agent to accompany this Form