IPIN/lINGA/T/2
Page 88
FORM
41
TRADE MARKS ACT
(FEE STAMP-ITEM Sa)
Application for Extension of time in which to apply for the Registrar's
Directions for the Advertisement of an Assignment of Trade
Marks otherwise than in connection with the goodwill of the business
(Section 26(4) and Regulation 81)
Application is hereby made by (a)
.
of
.
for extension of time of (b)
month(s) in which to
apply for the Registrar's Directions for the advertisement of an assignment
to him (them) of the following Trade Marks otherwise than in connection
with the goodwill of the business in which they were used at the time of
assignment, namely:
(I) Registered Trade Marks:
Registration Number
Class
Goods in respect of which
the Mark has been used and
*
is assigned.
all of which are to be registered in the name of (c)
..
of
who is the assignor;
(2) Unregistered Trade Marks, all being Marks used in his business at
the time of the assignment in respect of the goods stated below, by (c)
.............................. of
who is the assignor.
Goods in respect of which
Representation of Mark
the Mark has been used and
is assigned .
DATED this
........... day of
19
..
(d)
.
To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
The date of assignment was the
day of
19
.
*Additional Marks and numbers may be given in a signed Schedule on
the back of the Form.
(a) Here insert name and trade or business address of the assignee
(applicant).
(b) Here insert: "one" or "two" or "three".
(c) Here insert the name and trade or business address of the proprietor
(assignor).
(d) Signature.