IPIN/IINGA/T/2
Page 78

FORM 31
TRADE MARKS ACT
(FEE STAMP-ITEM 24 or 24(1)
Request for General Certificate of the Registrar (including Certificate
of Registration of a Trade Mark) (Regulation 113)

IN THE MATTER OF* the Trade Mark No
.
registered in Class
*
I (or We)
.
of
.
hereby request the Registrar to furnish me (us) with (b) his Certificate that
(a)

'

.

(b) a Certificate of Registration of the Trade Mark (b) for use in

obtaining registration abroad.
DATED this

day of
(c)
(cI)

19

.
.
.

To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
Regulation I 15.-"Where a certificate of registration of a trade mark is
desired for use in obtaining registration abroad, the Registrar shall include
in the certificate a copy of the mark and may require the applicant for the
certificate to furnish him with a copy of the mark suitable for the purpose
and, if the applicant fails to do so, may refuse to issue the certificate. The
Registrar may state in the certificate such particulars concerning the
registration of the mark as to him may seem fit, and may omit therefrom
reference to any disclaimers appearing in the Register, but in the lastmentioned case the certificate shall be marked: 'For use in obtaining
registration abroad only'''.
*
* These words may be varied to suit other cases.
(a) Here insert the particulars which the Registrar is requested to
certify.
(b) Strike out words that are not applicable.
(c) Signature.
(d) Address.

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