e-form

Application for the Surrender of a Registered
Design or the Withdrawal of a
Design Application

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 PROTECTION – The Commerce Department within the Ministry for the Economy, European Funds and Lands, 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.

Design Number

Filing Date

Full Name

Address

Postcode

Country

Telephone Number

Mobile Number

E-Mail

FOR OFFICE USE ONLY:

Receipt No.& Date:

Amount Paid:

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Full Name

Address

Country

Postcode

Telephone Number

Mobile Number

E-Mail

Required documents to be submitted with the application:

- A power of Attorney document (if representative is appointed)

By means of this application, I am hereby applying to surrender a Design Registration or Withdraw a Design Application. I confirm that the data I am supplying in this application is correct. I hereby give my consent to the Commerce Department to process and record the personal information which I am providing in this application and to exchange this information with Public Authorities, Government Departments and any other third parties, as necessary, in order to process this application and as permitted by Maltese Law.

I fully understand that:

-by opting out my application cannot be processed;

-authorised personnel who are processing this application may have access to the information provided in this application for the purpose specified in this application;

-information in this application form will be published by the Commerce Department and is therefore accessible to the public;


-edited information, that would not identify me, may be used for statistical puposes.

I know that I am entitled to see the information related to me, should I ask for it in writing.

I am aware that for the purposes of the Data Protection Act, the Data Controller is the Director General, Commerce Department, as the Comptroller of Industrial Property.

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Please choose method of payment

Notes:

This application will not be processed until payment has been received.

Payment can be effected via:

Bank transfer to: (preferred method)
Bank: Bank of Valletta
Account number: 40018101689 (charges to be incurred by sender)
IBAN: MT58VALL22013000000040018101689
BIC Code: VALL MTMT

Account Name: Commerce

NB. Please insert the Design Number in the bank's comments section when affecting payment.

By Post:
Cheques payable to "CIP" and sent to:
Commerce Department, Lascaris Bastions, Daħlet Ġnien is-Sultan, Valletta, VLT 1933, Malta

Warning: misleading invoices

It has come to the attention of the Commerce Department that local applicants are receiving invitations to pay fees that do not originate from the Industrial Property Registrations Directorate within the Commerce Department and which are unrelated to the processing of applications carried out by this office. If you receive an unsolicited invitation regarding renewal, publication, transfer or any other procedure in connection with your registration, DO NOT PAY IT until you have checked carefully to see what services are being offered and whether the source is official. You are advised to be aware of such invitations and where in doubt kindly contact this office on: +356 2569 0340.

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