(Regulation 10(1) and Section 8) |
FORM 2 |
APPLICATION FOR REGISTRATION OF LAYOUT-DESIGNS (TOPOGRAPHIES) OF INTEGRATED CIRCUITS |
The Applicant(s) request(s) that the following layout-design be registered 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)* Where an attorney-at-law has been appointed, the address of the (attorney-at-law) shall be treated as the address to which communication shall be transmitted. | |
| Name: | |
| Address | |
| Mailing Address | |
| Nationality | | Residence | |
| Telephone # | Fax # | E-mail |
2. | Authorisation of agent is |
| | Attached |
| | will be filed within 2 months from the filing of this form |
3. | Representation of Lay-out Design: |
| This form is accompanied by: |
| | 4 copies ** Where the application is accompanied by a copy of the lay-out design, a drawing thereof shall be filed within the period prescribed in rule 10(5).* of the layout-design; |
| | 4 copies* of the layout design allowing the identification of whereby such parts of the copies that relate to the manner of the manufacture of the integrated circuit have been omitted in accordance with section 8(3)(d) |
| | 4 drawings* of the lay-out design; |
| | 4 drawings* of the lay-out design allowing the identification of the lay-out design, whereby such parts of the drawings which relate to the manner of manufacture of the integrated circuit have been omitted in accordance with section 8(3)(d). |
4. | Designation |
| ............................................................................................................................................. ............................................................................................................................................. |
(Title of the layout-design indicating, under regulation 10(4), the matter to which it relates or the field to which the article in which it is intended to be incorporated, or has been incorporated, relates) |
5. | Creator |
| | The creator is the applicant | | Additional information is contained in supplemental box |
| | If creator is not the applicant, name of creator |
| | Name |
| | Address |
| | The statement justifying the applicant's right accompanies this form |
6. | Commercial Exploitation |
| | The layout-design has already been exploited in ............................................ (Date and place of first commercial exploitation) |
| | The layout-design has not been commercially exploited, anywhere in the world. |
7. | Name and Signature |
| ___________________________ | _______________ |
| 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 |
3. | Date fees received |