IP/NIl/NGA/T/2
Page 95
48
TRADE MARKS ACT
(FEE STAMP-ITEM 6b or 6c)
FORM
Application by the Registered Proprietor of a Trade Mark for variation of
the registration of a Registered User thereof with regard to the goods or the
conditions or restrictions. (Section 34(5)(a}-Regu/ation 98)
(To be accompanied by a Statement of the Grounds for the
application and the written consent (if given)
of the Registered user)
Application is hereby made by (a)
,
.
........................................................................................ .
........................................................................................ .
*
the proprietor of Trade Markis) No
registered in Class
~
in respect of (b)
.
the registration of (c)
as a registered user of the above-numbered trade mark(s) in respect of
(d)
.
................................. may be varied in the following manner:
(e)
.
DATED this
day of
(f)
19
..
.
To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
*Additional numbers may be given in a signed Schedule on the back of
the Form.
(a) Here insert the full name, description and trade or business address
of the registered proprietor.
(b) Here insert the specification in the Register.
(c) Here insert the full name, description and trade or business address
of the registered user.
(d) Here insert the goods in respect of which the user is registered.
(e) Here state in terms the manner in which it is requested that the entry
should be varied.
(f) Signature.