| Type: |
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| Date: |
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| Applicant's State of origin (Hague "1960" Act): |
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| Applicant's Contracting Party (Geneva "1999" Act): |
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| Add the number of industrial designs: |
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| Add the number of reproduction(s) of the industrial design(s): |
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| If using the paper application form, add the number of pages of reproductions: (free if you use the e-filing interface) |
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| Add the number of words of description: |
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| Locarno Classification (for KR designations only): |
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| Economic Status (for US designations): |
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| Economic Status (for IL designations): |
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| Economic Status (for MX designations): |
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