IPIN/lINGA/T/2
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25
TRADE MARKS ACT
(FEE STAMP-ITEM 18)
Request by Registered Proprietor of a Trade Mark that a Disclaimer or
Memorandum relating thereto may be registered (Regula/ion 86)
FORM

Request is hereby made by (a)

.

........................................................................................ .

of
.
for the addition to the entry in the Register in connection with Trade Mark
No
in Class
.
of the following
namely
.
........................................................................................ .

DATED this

........... day of
(b)

19

.
.

To:

The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
(a) Here insert the name, trade or business address and description of
the Registered Proprietor.
(h) Signature.

Select target paragraph3