P07-REQUEST FOR AMENDMENT OF PATENT OR UTILITY MODEL

REPUBLIC OF NAMIBIA

BUSINESS AND INTELLECTUAL PROPERTY

AUTHORITY (BIPA)

INDUSTRIAL PROPERTY ACT, 2012 Form No. P7

REQUEST FOR AMENDMENT OF PATENT OR UTILITY MODEL

(Section 40(1) and regulation 49(1))

Registration No. Filing Date Applicant’s or Agent’s Reference

Full Name(s) of Applicant(s)

Address for Service

Title of Invention

The applicant hereby applies to amend the patent specification contained in the above application as

shown on the attached relevant pages of that specification.

The full reasons for making the amendment are as follows:

Signed this _________________________ day of _______________________________ 20 _____

____________________________

Signature (Applicant/Agent)

_______________________________________________________________________________

For Official Use:

Application Reference No.:

Official Date Stamp