61
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
Form TM—No. 17
TRADE MARKS REGULATIONS, 1970
Fee: N ¢ 5.00
APPLICATION TO THE REGISTRAR UNDER SECTION 23 (5) AND REGULATION
26 (2) TO DISSOLVE THE ASSOCIATION BETWEEN A REGISTERED TRADE
MARK AND (AN) OTHER REGISTERED TRADE MARK(S)
To be accompanied by a Statement of Case
IN
THE
MATTER
OF
Trade
Mark
No.............................................................................................................................
registered
in
Class
.......................................................................................................................................
........................
I
(or
We),...............................................................................................................................
..............................................
......................................................................................................................................
......................................................
being the registered proprietor(s) of the above-numbered trade mark, hereby apply
that the association of this trade mark with the following trade mark(s) registered in
my (our) name:
No.
..........................................................
.............................................
registered
in
Class
No.
..........................................................
.............................................
registered
in
Class
may be dissolved and the Register amended accordingly.
The grounds for this application are set forth in the accompanying Statement of
Case.
Dated this ...................................................... day of ....................................... 19
...................................
(Signature) ...................................................................................
To The Registrar of Trade Marks,