P02-REQUEST TO POST-DATE PATENT OR UTILITY MODEL
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REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY
AUTHORITY (BIPA)
INDUSTRIAL PROPERTY ACT, 2012 Form No. P2
REQUEST TO POST-DATE PATENT OR UTILITY MODEL
APPLICATION
(Section 31 and regulation 39(1))
For Official Use:
Application No.:
(Official Date Stamp)
_______________________________________________________________________________
Select One: Patent
Utility Model
Title of Invention:
Application No:
Applicant’s Personal Details (in case of two or more applicants, provide details on a separate sheet):
Name
Address
Country Region Postcode
Nationality
Country of
Residence or
Principal Place
of Business
Telephone E-mail
Agent: (The following agent has been appointed by the applicant(s) in the power of attorney
accompanying this Form.)
Name
Address
Reasons for request to post-date:
Signed this _________________________ day of _______________________________ 20 _____
____________________________
Signature (Applicant/Agent)