P09-COUNTER-STATEMENT TO AMENDMENT RESTORATION

REPUBLIC OF NAMIBIA

BUSINESS AND INTELLECTUAL PROPERTY

AUTHORITY (BIPA)

INDUSTRIAL PROPERTY ACT, 2012 Form No. P9

COUNTER-STATEMENT TO AMENDMENT/RESTORATION

(Regulations 49(5) and 52(5))

For Official Use:

Notice Received on:

Applicant’s File Reference:

Official Stamp

_______________________________________________________________________________

In the matter of Application No. _________________ for Amendment/Restoration of a patent.

I/We, _________________________________________________________________________

wish to counter the opposition statement in relation to the above identified patent published in the

Bulletin of the _______ day of __________________ 20 ______. No. ___________, page_________.

Our counter-statement is as follows (attach further information):

Applicant/Agent

Name

Address

Telephone No. E-mail Address

Supporting evidence accompanies this Form

Power of Attorney accompanies this Form.

Fees accompany this Form.

Signed this _________________________ day of _______________________________ 20 _____

____________________________

Signature (Applicant//Agent)