51
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
The statement on the back of this Form must be filled in, and signed.
To The Registrar of Trade Marks,
Registrar-General's Department,
P.O. Box 118,
Accra.
(To appear on the back of the Form)
The Registrar is requested to send notice of renewal of the registration to(e) the
Registered Proprietor at the following address:
.......................................................................................................................................
.....................................................
.......................................................................................................................................
.....................................................
(Signature) ....................................................................
Dated this .................................................... day of ........................................ 19
.............................................
________________
(a) Insert here the name and address of the person leaving the fee, If the fee is left
by the proprietor himself, this passage should be struck out.
(b) If the fee is not left by the proprietor himself, insert his name and address here.
(c) Signature of the person leaving the fee.
(d) Address of the person signing.
(e) If the request is signed by the Registered Proprietor strike out here the words "the
Registered Proprietor" and substitute the word "me".
Form TM���No. 10
TRADE MARKS REGULATIONS, 1970