58
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
(d) Strike out any words not applicable (see Regulation 36).
*N ¢ 1.00 for each additional mark.
Form TM—No. 15
TRADE MARKS REGULATIONS, 1970
DECLARATION (ONLY TO BE FURNISHED WHEN REQUESTED BY
REGISTRAR) IN SUPPORT OF STATEMENT OF CASE ACCOMPANYING FORM
TM—No. 13 OR TM—No. 14
I,
.....................................................................................
............................................................................................
of
Do hereby solemnly and sincerely declare that the particulars set out in the
Statement of case, exhibit marked ......................................... and left by me in
connection with my request to be registered as subsequent proprietor of the trade
mark No. ........................................................ in Class ..............................................
are true and comprise every material fact and document affecting the present
proprietorship of the trade mark.
(a) And I make this solemn declaration conscientiously believing the same to be true
and by virtue of the provisions of the Statutory Declarations Act, 1935.
(b) ...........................................................................................................
Declared at ...............................................
.......................... 19 ...........................................
this
...........................
day
of
Before
me
(c)
.......................................................................................................................................
...............................
.........................................................................................................
To The Registrar of Trade Marks,
Registrar-General's Department
P.O. Box 118,
Accra.