114
TRADE MARKS REGULATIONS, 1970 (L.I. 667)

......................................................................................................................................
......................................................
.......................................................................................................................................
......................................................
the
proprietor
of
trade
.............................................................................. *

mark(s)

registered
in
Class
......................................................
(b)...............................................................................

in

No(s)
respect

of

.......................................................................................................................................
......................................................
that
the
registration
of
(c)...................................................................................................................................
................
.......................................................................................................................................
......................................................
.......................................................................................................................................
.....................................................
as a registered user of the above-numbered trade mark(s) in respect of
(d)........................................................................
.......................................................................................................................................
......................................................
may
be
varied
in
the
following
manner:
(e).........................................................................................................................
......................................................................................................................................
......................................................
Dated
the
..................................
day
of
..........................................................................................
(Signature) ................................................................
To The Registrar of Trade Marks,
Registrar-General's Department,
P.O. Box 118,

...........................,

19

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