You are on page 1of 1

FORM IP 1 Regulation 10 THE INDUSTRIAL PROPERTY ACT, 2001

The Managing Director, Kenya Industrial Property Institute. REQUEST FOR WRITTEN AUTHORITY REFERRED TO IN SECTION 28(1) OF THE ACT

Name and address of applicant(s)

Name and address of agent (if any) Title of invention

I/We, the applicant(s) identified above, apply for authority to file a patent application outside Kenya. My/Our reasons for making this request are as follows

Dated at ........................... this ...................................... day of ......................., 20...........

Signature.................................

You might also like