IPIN/I IKENff/1
Page 120
[Subsidiary]
to be sold or otherwise
traded in in (d) .......................••".]
,
.
in circumstances that are stated fully in the accompanying Statement
of Case.
(e) Here insert
the name and
trade or business
address of the
person who
claims a trans
mission to him.
t
(2) (e)
. . . . . . . eo'" '0
..
of
"
..
'
.
'0
'
.
who claims that the Trade Mark[s] shown in the accompanying State
ment of Case was [were). in respect of the following goods. namely:
................................................................ ,
(J) Insert hero
the date of the
t ran s mission
which must not
precede the ap
pointed day.
(g) Strike
out
the words that
are not applic
able.
(Ii) Insert here
the name and
trade or business
address of the
predecessor
in
title, if any.
(n Insert here
the name and
address of the
person who
transmitted.
.
and on the (f) ..... , .... , ..... day of ., ..............• J9." .•
transmitted to (g) him for to (h)
of .. ,
,
,
,
(who was his predecessor in title)] by or from (i)
.of
.
,
.
:
,.
,., .. ,
.
by whom the Trade Mark was then used in respect of the following
goods, namely
,
"
.
all in circumstances that arc stated fully in the accompanying State
ment of Case. for approval by the Registrar of the aforesaid trans
mission.
Dated this
(1') Signature.
-, . . . . . . . .. day of ..•...•...... , .. , 19
.
(11 ••••••••••••••• , ••••••••••••••••••••••••
To: The Registrar of Trade Marks.
P.O. Box 30031,
Nairobi.
74 of 86