IPIN/IINGA/T/2
Page 74

FORM 27
TRADE MARKS ACT
(FEE STAMP-ITEM 16)
Application to (he Registrar for the Rectification of (he Register
or the Removal ofa Trade Mark from the Register (Regulation 83)

IN THE MATTER OF the Trade Mark No

_

.

registered in the name of
_
.
in Class
__
.
..
I (or We) (a)
hereby apply that the entry in the Register in respect of the abovementioned Trade Mark may be removed (b) rectified in the following
manner
.
The grounds of my (our) application are as follows:-

No action concerning the Trade Mark in question is pending in the Court.
Address for service in Nigeria in these proceedings:

DATED this

........... dayof
(c)

,

19

To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
(a) Here state full name and address.
(b) Strike out the word (or words) that is (are) not applicable.
(c) Signature.

.
.

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