Application for Registering or Cancelling a Licence for a Patent

WARNING to all applicants - Any false statements, misrepresentation or concealment of material fact on this form or any document presented in support of this application may be grounds for criminal prosecution.

INFORMATION PROTECTED – The Commerce Department within the Ministry for the Economy and Industry, collects and processes the personal data provided in this application to carry out its lawful functions under the Patents & Designs Act [Cap. 417].

All personal data is collected and processed in accordance with the General Data Protection Regulation 2016/679 and all current Data Protection legislation, the Patents & Designs Act [Cap. 417] and the Data Privacy Policy of the Department, a copy of which is available on our website.

Personal data provided in this application will only be shared with third parties according to the law.

Purpose of this Application

In case of a cancellation enter the date
of the cancellation of Licence

Details of Registration

Patent Number

Title of Invention

Filing Date


Receipt No.& Date:

Amount Paid:

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