119
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
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Dated this ..................................................day of ..............................................., 19
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(Signature) ........................................................
To The Registrar of Trade Marks,
Registrar-General's Department,
P.O. Box II 9,
Accra.
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*Additional numbers may be given in a signed schedule oil the back of the form.
(a) Here insert the name, trade or business address and description of the registered
proprietor as entered in the Register.
(b) Here insert the name and address of the applicant for cancellation.
(c) Here insert the name, trade or business address and description of the registered
user is entered in the Register.
(d) Here insert the goods in respect of which the registered user is entered.
(e) Here insert one or more of the subparagraph,.; of paragraph (c) of section 28 (10)
numbered (i), (ii), (iii).