(g)Written declaration. In lieu of the oath required by 17 U.S.C. 1312(a) , the application shall contain a written declaration, as permitted by 17 U.S.C. 1312(b) , signed by the applicant, or the applicant's duly authorized agent or representative. If the design has been made public with the design notice prescribed in 17 U.S.C. 1306 , the written declaration shall also describe the exact form and position of the design notice. The written declaration shall read as follows:The undersigned, as the applicant or the applicant's duly appointed agent or representative, being hereby warned that willful false statements are punishable by fine or imprisonment, or both, under 18 U.S.C. 1001 , and that such willful false statements may jeopardize the validity of this application or any resulting registration, hereby declares to the best of his/her knowledge and belief:
(1) That the design has been fixed in a useful article;(2) That the design is original and was created by the designer(s), or employer if applicable, named in the application;(3) That those aspects of the design for which registration is sought are not protected by a design patent;(4) That the design has not previously been registered on behalf of the applicant or the applicant's predecessor in title; and(5) That the applicant is the person entitled to protection and to registration under chapter 13 of title 17, United States Code.