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Form DM4 _Hague System for the International Registration of

VIEWS: 12 PAGES: 4

  • pg 1
									                                                                                                                              DM/4(E)
                                                            HAGUE AGREEMENT

                         CONCERNING THE INTERNATIONAL REGISTRATION OF INDUSTRIAL DESIGNS




                                     RENEWAL OF THE INTERNATIONAL REGISTRATION

                    GOVERNED EXCLUSIVELY OR PARTLY BY THE 1999 ACT AND/OR THE 1960 ACT




                                                               IMPORTANT
                     1. This form may only be used to request the renewal of a single international registration resulting from
                        an international application governed exclusively or partly by the 1999 Act and/or the 1960 Act. If
                        the international registration results from an international application governed exclusively by the
                        1934 Act, form DM/35 must be used.
                     2. With respect only to Contracting Parties designated under the 1934 Act, the international registration
                        cannot be renewed beyond the maximum duration of protection of 15 years.
                     3. A Fee Calculator is available on the WIPO website under the headings “Activities and
                        Services/International Designs/Fees/Automated Fee Calculator”.




                                           This cover page must not be sent to the International Bureau.




                                                  World Intellectual Property Organization
                                                 34, chemin des Colombettes, P.O. Box 18,
                                                       1211 Geneva 20, Switzerland
                                                          Tel.: (41-22) 338 9111
                                         Fax (International Designs Registry): (41) 22 740 14 29
                                       e-mail: intreg.mail@wipo.int – Internet: http://www.wipo.int
DM/4(E) – January 2010
                                                                                                                                  DM/4(E)
                  RENEWAL OF THE INTERNATIONAL REGISTRATION
        GOVERNED EXCLUSIVELY OR PARTLY BY THE 1999 ACT AND/OR THE 1960 ACT

                                                              For use by the holder
This request contains the following number of continuation sheets:
Reference:


  1      INTERNATIONAL REGISTRATION NUMBER
         Date:


  2      NAME AND ADDRESS OF THE HOLDER (as recorded in the International Register)
         Name:
         Address:



 3       SCOPE OF THE RENEWAL (check item (a) or complete item (b))

(a)      TOTAL RENEWAL: the renewal of the international registration is to be recorded for all designs included in that international
         registration and for all designated Contracting Parties – including, where applicable, those Contracting Parties in respect of which a
         total refusal has been recorded in the International Register and those Contracting Parties designated under the 1999 Act or the 1960
         Act in respect of which the maximum period of protection has expired.
                           _________________________________________________________________________

(b)      PARTIAL RENEWAL
         (i) Indicate below the number of each industrial design for which the international registration is NOT to be renewed; if no industrial
             design number is indicated, it will be understood that all industrial designs indicated in item 1 will be the subject of the renewal:




         (ii) Indicate below the designated Contracting Parties for which the international registration is NOT to be renewed:1

             AL             BW            DE             FR            HR              KG           MC             NA             RS           SY
             AM             BX            DK             GA            HU              KP           MD             NE             SG           TN
             AN             BZ            EG             GE            ID              LI           ME             OA             SI           TR
             BA             CH            EM             GH            IS              LT           MK             OM             SN           UA
             BG             CI            ES             GR            IT              LV           ML             PL             SR
             BJ                                                                        MA           MN             RO             ST

         1
             It is understood that the renewal is to be recorded in respect of all designated Contracting Parties not indicated above (including,
             where applicable, those in respect of which a total refusal has been recorded in the International Register and those designated
             under the 1999 Act or the 1960 Act in respect of which the maximum period of protection has expired).


 4       APPOINTMENT OF A REPRESENTATIVE (optional)
         (do not complete this item if there is no change in the representative already recorded in the International Register)
         (a) Name:
         (b) Address:
             Telephone:                                                        Fax:
             E-mail address:

         (c) To appoint a representative, the present request must be signed by the holder, or accompanied by a power of attorney or form DM/7
             (check the appropriate box):
                    item 5 of the request is signed by the holder; or
                    a power of attorney or form DM/7 is attached to the present form




DM/4(E) – January 2010
                                                                                                                                   Page 2

 5       SIGNATURE AND/OR SEAL

         (a) Identify the signatory by checking the appropriate box:
             (i) Holder
             (ii) Representative of the holder

         (b) Name:

         (c) Signature and/or seal:

         (d) Date of Signature (dd/mm/yyyy):

         Name of the person to contact, if necessary:

         Telephone:                                                                    Fax:

         E-mail address:

                                                              PAYMENT OF FEES

 1. INSTRUCTION TO DEBIT FROM A CURRENT ACCOUNT
 (if this box is completed, it is not necessary to complete items 2 and 3)
 The International Bureau is hereby instructed to debit the required amount of fees from the following current account opened with the
 International Bureau:
 Holder of the account:                                                                       Account number:
 Identity of the party giving the instruction:

 2. METHOD OF PAYMENT

 Identity of the party effecting the payment:
                                                              WIPO receipt number

 Payment received and acknowledged by WIPO

 Payment made to WIPO bank account
 IBAN No. CH51 0483 5048 7080 8100 0                          Payment identification                            dd/mm/yyyy

 Credit Suisse, CH-1211 Geneva 70
 Swift/BIC: CRESCHZZ80A
 Payment made to WIPO postal account                          Payment identification                            dd/mm/yyyy

 IBAN No. CH03 0900 0000 1200 5000 8
 Swift/BIC: POFICHBE


                         GRAND TOTAL IN SWISS FRANCS (use the fee calculator or complete item 3 below)




DM/4(E) – January 2010
                                                                                                                                  Page 3


                                                    FEE CALCULATION
                                      This item is provided for the convenience of users.
                                It is not necessary to complete it if the fee calculator is used.
    3. AMOUNT OF FEES (see Fee Calculator: www.wipo.int/hague_feecalc)

    (a)   Basic fees
          for one design                                                                                                 200.--
          for each additional design
          17 Swiss francs           designs in addition to the first
    (b)   Designation fees
          (i) Standard designation fees (payable only for designations renewed under the 1960 Act or for
              designations renewed under the 1999 Act and for which an individual designation fee is not payable)
              for first design
              21 Swiss francs                Contracting Parties
              for each additional design
              1 Swiss franc                  designs in addition to the first              Contracting Parties
          (ii) Individual designation fee
Bulgaria*:        for the first renewal: 248 Swiss francs for each design 
                  for the second renewal: 331 Swiss francs for each design 
                  for the third renewal: 413 Swiss francs for each design 
European
Union:            51 Swiss francs for each design 
Hungary : *
                  103 Swiss francs for first design + 24 Swiss francs               designs in addition to the first
Kyrgyzstan : 78 Swiss francs for first design + 8 Swiss francs 
              *
                                                                                     designs in addition to the first
OAPI:             285 Swiss francs for each design 
Republic of
Moldova*: 151 Swiss francs for first design + 15 Swiss francs                       designs in addition to the first

*
    Payable only if the designation of these Contracting Parties is renewed under the 1999 Act.
    (c)   Surcharge – period of grace (payable only if the payment of fees is made after the date on which the renewal
          of the international registration was due)
          50% of the renewal basic fee

                                                                                     GRAND TOTAL (SWISS FRANCS)




DM/4(E) – January 2010

								
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