Renewal of the international registration

DM/4(E) HAGUE AGREEMENT CONCERNING THE INTERNATIONAL REGISTRATION OF INDUSTRIAL DESIGNS RENEWAL OF THE INTERNATIONAL REGISTRATION GOVERNED EXCLUSIVELY OR PARTLY BY THE 1999 ACT AND/OR THE 1960 ACT IMPORTANT This form may only be used to request the renewal of a single international registration resulting from an international application governed exclusively or partly by the 1999 Act and/or the 1960 Act. If the international registration results from an international application governed exclusively by the 1934 Act, form DM/35 must be used. With respect only to Contracting Parties designated under the 1934 Act, the international registration cannot be renewed beyond the maximum duration of protection of 15 years. A Fee Calculator is available on the WIPO’s web site, at http://www.wipo.int/hague/en/fees/calculator.jsp. This cover page must not be sent to the International Bureau. World Intellectual Property Organization 34, chemin des Colombettes, P.O. Box 18, 1211 Geneva 20, Switzerland Tel.: [phone] Fax (The Hague Registry): [phone] e-mail: [e-mail] – Internet: http://www.wipo.int

DM/4(E) RENEWAL OF THE INTERNATIONAL REGISTRATION GOVERNED EXCLUSIVELY OR PARTLY BY THE 1999 ACT AND/OR THE 1960 ACT

For use by the holder This request contains the following number of continuation sheets: Reference:

INTERNATIONAL REGISTRATION NUMBER Date:

NAME and address OF THE HOLDER (as recorded in the International Register) Name: Address:

scope of the renewal (check item (a) or complete item (b))  TOTAL RENEWAL: the renewal of the international registration is to be recorded for all designs included in that international registration and for all designated Contracting Parties – including, where applicable, those Contracting Parties in respect of which a total refusal has been recorded in the International Register and those Contracting Parties designated under the 1999 Act or the 1960 Act in respect of which the maximum period of protection has expired. _________________________________________________________________________  PARTIAL RENEWAL Indicate below the number of each industrial design for which the international registration is NOT to be renewed; if no industrial design number is indicated, it will be understood that all industrial designs indicated in item 1 will be the subject of the renewal: Indicate below the designated Contracting Parties for which the international registration is NOT to be renewed^1:

 AL  AM  AZ  BA  BG  BJ

 BN  BW  BX  BZ  CH  CI

 DE  DK  EE  EG  EM  ES

 FI  FR  GA  GE  GH  GR

 HR  HU  IS  IT  KG  KP

 KR  LI  LT  LV  MA  MC

 MD  ME  MK  ML  MN  NA

 NE  NO  OA  OM  PL  RO

 RS  RW  SG  SI  SN  SR

 ST  SY  TJ  TN  TR  UA

^1 It is understood that the renewal is to be recorded in respect of all designated Contracting Parties not indicated above (including, where applicable, those in respect of which a total refusal has been recorded in the International Register and those designated under the 1999 Act or the 1960 Act in respect of which the maximum period of protection has expired).

APPOINTMENT OF A REPRESENTATIVE (optional) (do not complete this item if there is no change in the representative already recorded in the International Register) Name: Address: Telephone: Fax: E-mail address: To appoint a representative, the present request must be signed by the holder, or accompanied by a power of attorney or form DM/7 (check the appropriate box):  item 5 of the request is signed by the holder; or  a power of attorney or form DM/7 is attached to the present form

SIGNATURE and/or seal Identify the signatory by checking the appropriate box: Holder  Representative of the holder  Name: Signature and/or seal: Date of Signature (dd/mm/yyyy): Name of the person to contact, if necessary: Telephone: Fax: E-mail address:

payment of fees 1. INSTRUCTION TO DEBIT FROM A CURRENT ACCOUNT (if this box is completed, it is not necessary to complete items 2 and 3) The International Bureau is hereby instructed to debit the required amount of fees from the following current account opened with the International Bureau: Holder of the account: Account number: Identity of the party giving the instruction:

2. method of payment

Identity of the party effecting the payment:

Payment made to WIPO bank account IBAN No. CH51 0483 5048 7080 8100 0 Credit Suisse, CH-1211 Geneva 70  Swift/BIC: CRESCHZZ80A

^Payment identification

^dd/mm/yyyy

Payment made to WIPO postal account IBAN No. CH03 0900 0000 1200 5000 8  Swift/BIC: POFICHBE

^Payment identification

^dd/mm/yyyy

Grand total in Swiss francs (use the fee calculator or complete item 3 below)

Fee Calculation This item is provided for the convenience of users. It is not necessary to complete it if the fee calculator is used. 3. AMOUNT OF FEES (see Fee Calculator: www.wipo.int/hague_feecalc) Basic fees for one design for each additional design 17 Swiss francs  designs in addition to the first			200.--
Designation fees Standard designation fees (payable only for designations renewed under the 1960 Act or for designations renewed under the 1999 Act and for which an individual designation fee is not payable) for first design 21 Swiss francs  Contracting Parties for each additional design 1 Swiss franc  designs in addition to the first  Contracting Parties
(ii) Individual designation fee European Union: 34 Swiss francs for each design  Hungary^*: 84 Swiss francs for first design + 20 Swiss francs  designs in addition to the first Kyrgyzstan^*: 64 Swiss francs for first design + 6 Swiss francs  designs in addition to the first OAPI: 190 Swiss francs for each design  Republic of Korea: First renewal: 339 Swiss francs for each design x Second renewal: 800 Swiss francs for each design x Third renewal: 923 Swiss francs for each design x Republic of Moldova^*: 128 Swiss francs for first design + 13 Swiss francs  designs in addition to the first ^* Payable only if the designation of these Contracting Parties is renewed under the 1999 Act.
Surcharge – period of grace (payable only if the payment of fees is made after the date on which the renewal of the international registration was due) 50% of the renewal basic fee
		Grand total (Swiss francs)

DM/4(E) – July 2014