IP1N/lIKENffII
Page 97
[Subsldlary]
by virtue of (g) ••••..••.•...••.....••

(I)	

.

.

(II) The trade mark at the time of the assignment was (h) [not] used
in a business in the goods in question, and the assignment took (11)
[did not take] place on or after the appointed day otherwise than in
connexion with the goodwill of a business in the goods, (Il) and there
is sent herewith a copy of the Registrar's direction to advertise the
assignment, a copy of each of the advertisements complying therewith
and a statement of the dates of issue of any publications containing
them.
Dated this
day of ................• 19
.
..........................................................................

"

(i) ............................•.•...•....•

(j) .............................•••....• '. ••

To: The Registrar of Trade Marks.
P.O. Box 30031
Nairobi.
JVo(e.---·The instrument under which the Transferee claims should
preferably accompany this form.

D ate of
acquisi­
tion of propri­
etorship.
(g) Full parti­
culars
of
the
instrument
of
assignment
or
transmission. if
any. or state­
ment of case.
(Ii) St ri k t: (J ~!t
any words not
applicable. CSee
rule 76.)
ef)

co

Signature of
ass i g nor or
transrniuer.
(j) Signature of
transferce.

F EE

Form TM 15

lst Sch.• items
[

9. 9a

---------REQUEST TO THE REGISTRAR TO REGISTER It. SUBSEQUENT PROPRIETOR
OF A TRADE M.\RK OR TRADE MARKS UPON THE SAME DEVOLUTION
OF TITLE

I [We] (a)	

.

hereby request that my [our] name may be entered in the Register of
Trade Marks as proprietor
of Trade Mark[s] No.[s]
*
in Class	
as from the (b) ...................•.•

I am. [We are] entitled to the Trade lvlark[s] by virtue of (c)

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

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

,	

Thetrade mark at the time of the assignment was (d) [not] used in
a business in the goods in question. and the arsignrnent took (d) [did
.not	 take] place on or after the appointed day otherwise than in con­
nexion with the goodwill of a business in the goods. (d) and there is
sent herewith a copy of the Registrar's direction to advertise the assign­
ment, a copy of each of the advertisements complying therewith and a
statement of the dates of issue of any publications containing them.
Dated this	
day of ................• 19..••

(d)

(e) ......................................•.


To: The Registrar of Trade Marks,
P.O. Box 3003 I.

Nairobi.

Note.-The instrument under which the Transferee claims should
preferably accompany this form.

(a) Here insert
full name. trade
or business ad­
dress. nationality
and description.
• Additional
numbers rna)' he
given in a signed
-chcdulc on the
back
of
the
form.
(!» D ate of
acquisition
of
proprietorship.
(t') Here
insert
filII
particulars
of the instrument
of assignment or
transmission. if
any, or state­
ment of case.
(d) Strike
out
an)' words not
applicable, (See
rule. 76.)
(c) Signature.

51 of 86

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