Form 10

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FORM-10

PATENTS AND DESIGNS ACT, 1911

Restoration of Patent. Section 16.

I (or we) KRONE GmbH (a German Company), of Beeskowdamm 3-11 # 14167 Berlin #
GERMANY., hereby apply for an order of the Controller for the restoration of the Patent No.
132256 of 21-10-1990 (Priority date: 10-05-1990 granted to me (or us)..

The circumstances which have led to the omission to pay the fee of Rs. _____/- on or before the
_____ day of ________ are as follows:-

Due to an oversight the renewal fee could not be paid in due time.

I (or we) declare that I (or we) have not assigned the patent to any other person and that the facts
and matters stated herein are true to be best of my (or our) knowledge, information and belief.

My (or our) address for services in Pakistan is:-

UNITED TRADEMARK & PATENT SERVICES


Patent & Trademark Attorneys
West End Building,
61-The Mall, Lahore-54000
(PAKISTAN)

Dated this: ______ day of: ________ 2000

Signed: _____________________________

Name: _____________________________

Designation: ________________________

To
The Controller of Patents and Designs,
The Patent Office
KARACHI.
/conversion/tmp/activity_task_scratch/631430612.doc

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