Application for Conversion of a
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].
Personal data provided in this application will only be shared with third parties according to the law.
Details of Representative (if applicable)