IP/N/l/KENffll
Page 118
[Subsidiary]
FEE
1st Sch.,
item 8
Form TM 39
ApPLICATION FOR THE CERTIFICATE OF THE REGISTRAR UNDER SECTION
25 (5) AND RULE 79 WITH REFERENCE TO A PROPOSED ASSIGNMENT OF
A REGISTERED TRADE MARK
.
(To be accompanied by a Statement of Case in duplicate and a copy
of the proposed assignment)
IN
THE
MATTER OF Trade Marks[s] No.[s] ..........•....•.....
· . . . . . . . . . . • . . . . . . .. registered in the name of
·
.
,
in -Classjes]
o •••••
·
(a) Here insert
the name and
trade or business
address of the
registered
pro
prietor.•
_~
: ••.
--
.
'"
Application is hereby made by (a) ......................••••••
of ..
0
•••••••••••••
0
•••••••••••••••••
0
0
•
0
0
•••��•••
0
0
•
being the Registered Proprietor[s] of the above-numbered registered
Trade Mark[s], for the Registrar's Certificate under section 25 (5) with
reference to a proposed assignment of the registered Trade Ms'rkjs]
(b) Here insert
the name and
trade or business
address of the
proposed assign
ee.
No.[s]
of
to (b)
0
••••••••••••••••••••
0
••
0
•
0
•••
0
0
••••••••••••
0
0
••••••••
0
0
•
in circumstances that are stated fully in the accompanying Statement
of Case.
Dated this
(e)
day of
(c)
Signature.
00
•••••••••
00.
0
OJ
19 •...
.
To: The Registrar of Trade Marks,
P.O. Box 30031,
Nairobi.
72 of 86