DM/4 (E) – June 2020

DM/4 (E)

HAGUE AGREEMENT

CONCERNING THE INTERNATIONAL REGISTRATION OF INDUSTRIAL DESIGNS

RENEWAL OF THE INTERNATIONAL REGISTRATION

IMPORTANT

1. This form may only be used to request the renew al of a single international registration.

2. For a designation of the United States of America, a single 15-year term of protection from the

date of grant of protection is already provided. How ever, renew al of the international

registration is required for a designation of the United States of America if the holder w ishes

to benefit from the possibility of centralized subsequent management for this designation. No

renew al designation fee is payable w ith respect to a designation of the United States

of America, although payment of the basic fee is required.

3. A Fee Calculator is available on the WIPO w ebsite.

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.: +41 (0)22 338 75 75

Internet: www.wipo.int

For further information, please Contact Hague

DM/4 (E) – June 2020

DM/4 (E) RENEWAL OF THE INTERNATIONAL REGISTRATION

For use by the holder

This request contains the follow ing number of continuation sheets:

Reference:

INTERNATIONAL REGISTRA TION NUMBER

Date (dd/mm/yyyy):

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))

(a) TOTAL RENEWAL: the renew al of the international registration is to be recorded for all designs included in that international

registration and for all designated Contracting Parties – including, w here applicable, those Contracting Parties in respect of

w hich a total refusal has been recorded in the International Register and those Contracting Parties in respect of w hich the

maximum period of protection has expired. _________________________________________________________________________

(b) PARTIAL RENEWAL

(i) Indicate below the number of each industrial design for w hich the international registration is NOT to be renew ed; if no

industrial design number is indicated, it w ill be understood that all industrial designs indicated under item (a) w ill be the

subject of the renew al:

(ii) Indicate below the designated Contracting Parties for w hich the international registration is NOT to be renew ed1:

AL

AM

AZ

BA

BG

BJ

BN

BW

BX

BZ

CA

CH

CI

DE

DK

EE

EG

EM

ES

FI

FR

GA

GB

GE

GH

GR

HR

HU

IL

IS

IT

JP

KG

KH

KP

KR

LI

LT

LV

MA

MC

MD

ME

MK

ML

MN

MX

NA

NE

NO

OA

OM

PL

RO

RS

RU

RW

SG

SI

SM

SN

SR

ST

SY

TJ

TM

TN

TR

UA

US2

VN

WS

1 It is understood that the renewal is to be recorded in respect of all designated Contracting Parties not checked in this item (including, where applicable, those in respect of which a total refusal has been recorded in the International Register and those in respect of which the maximum period of protection has expired).

2 No renewal designation fee is payable for the United States of America, although payment of the basic fee is required.

1

3

2

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DM/4 (E) – June 2020

APPOINTMENT OF A REPRESENTATIV E (optional)

(do not complete this item if there is no change in the representative already recorded in the International Register)

(a) Representative is a (check the appropriate box)3:

Natural person – Family name: Given name:

Legal entity – Off icial designation:

(b) Address:

Telephone: E-mail address:

(c) To appoint a representative, the present request must be signed by the holder, or accompanied by a pow er of attorney

or form DM/7 (check the appropriate box):

item 5 of the request is signed by the holder; or

a pow er of attorney or form DM/7 is attached to the present form 3 Only one box should be checked. If both boxes are checked, the name of the representative will be recorded with the name of the natural person preceding the name

of the legal entity.

SIGNATURE AND/OR SEAL

(a) Identify the signatory by checking the appropriate box:

(i) Holder

(ii) Representative of the holder

(b) Name:

(c) Signature and/or seal:

(d) Date of Signature (dd/mm/yyyy):

Name of the person to contact, if necessary:

Telephone: E-mail address:

PAYMENT OF FEES

1. INSTRUCTION TO DEBIT FROM A WIPO 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 follow ing WIPO current account:

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

Sw ift/BIC: CRESCHZZ80A

Payment identification

dd/mm/yyyy

Payment made to WIPO postal account

IBAN No. CH03 0900 0000 1200 5000 8 Sw ift/BIC: POFICHBE

Payment identification

dd/mm/yyyy

GRAND TOTAL IN SWISS FRANCS (use the fee calculator or complete item 3 below )

5

4

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DM/4 (E) – June 2020

FEE CALCULATION SHEET This sheet 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)

(a) Basic fees

for one design

for each additional design

17 Sw iss francs designs in addition to the f irst

200.--

(b) Designation fees

(i) Standard designation fees (payable only for designations renew ed under the 1960 Act or

for designations renew ed under the 1999 Act and for w hich an individual designation fee is

not payable)

for f irst design

21 Sw iss francs Contracting Parties

for each additional design

1 Sw iss franc designs in addition to the f irst Contracting Parties

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DM/4 (E) – June 2020

(ii) Individual designation fee

Canada: First renew al: 265 Sw iss francs for each design

Second and subsequent renew als: 0 Sw iss francs for each design

European

Union: 34 Sw iss francs for each design

Hungary4: 70 Sw iss francs for f irst design + 17 Sw iss francs designs in addition to the f irst

Israel: First renew al: 141 Sw iss francs for each design

Second renew al: 170 Sw iss francs for each design

Third renew al: 198 Sw iss francs for each design

Fourth renew al: 226 Sw iss francs for each design

Japan: First renew al: 772 Sw iss francs for each design

Second renew al: 772 Sw iss francs for each design

Third renew al: 772 Sw iss francs for each design

Fourth renew al5: 772 Sw iss francs for each design

Kyrgyzstan4: 64 Sw iss francs for f irst design + 6 Sw iss francs designs in addition to the f irst

Mexico: 343 Sw iss francs (or w here the holder is entitled to the fee reduction6, 171 Sw iss francs)

for each design ……………………………………………………………………………………

OAPI: 190 Sw iss francs for each design

Republic of

Korea7: First renew al: 339 Sw iss francs for each design

Second renew al: 800 Sw iss francs for each design

Third renew al: 923 Sw iss francs for each design

Republic of

Moldova4: 105 Sw iss francs for f irst design + 10 Sw iss francs designs in addition to the f irst

Russian

Federation: First renew al: 284 Sw iss francs

Second renew al: 697 Sw iss francs

Third renew al: 1,036 Sw iss francs

Fourth renew al: 1,802 Sw iss francs

(c) Surcharge – period of grace (payable only if the payment of fees is made after the date on w hich

the renew al of the international registration w as due)

50% of the renew al basic fee

GRAND TOTAL (SWISS FRANCS)

4 Payable only if the designation of this Contracting Party is renewed under the 1999 Act.

5 No renewal fee payable for fourth and subsequent renewals with respect to an international registration whose international registration date is before April 1, 2020.

6 If the holder is a creator who is a natural person, a micro or small entity, a public or private higher education institution, or a public scientific or technological research institute.

7 For the renewal of international registrations of designs belonging to any class of the Locarno Classification other than 2, 5 and 19, the individual designation fee applies in respect of a designation of the Republic of Korea. For those

designs belonging to classes 2, 5 and 19, level 3 of the standard designation fee applies.