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FormTM 18

f_

ApPLICATION TO THE REGISTRAR l:~DER SEC nON
AND (AN) OTHER REGISTERED TRADE

(To be 'accompanied by a Statement

IN

26 (5)

A~D RULE

61


ASSOCIAT10~ BET\\'ElN A REGISTERED 'fRADE .~1ARK


TO DISSOLVE THE

tv! ARK(S)

0/ Case)

a Trade Mark No

THE MATTER OF

.

registered in Class

.

I [We]

.

the Registered Proprietor[s] of the above-numbered Trade Mark,
hereby apply that the association of this Trade M ark with the follow­
ing Trade Mark[s] registered in my [our] name :
No

registered in Class

.

No.

registered in Class

.

may be dissolved and the Register amended accordingly.
The grounds for this application are set forth in the accompanying
Statement of Case.
Dated this
(a)

day of ................• 19

.

(a) ..................••......•.............


Signature.

To: The Registrar of Trade M arks.
P.O. Box 30031,
Nairobi.

FEE
Sb. 10

Form TM 19

REQUEST FOR CORRECTION OF CL ERICAL ERROR; OR FOR PERMISSION '10
AMEND ApPLICATION
(a) Here insert
words and refer­
ence n u m b e r
identifying
the
entry or applica­
tion.

IN

THE MAlTER OF (a) ......••....••••••••••••••••••••••••••
~
.

I ['We], being the
hereby request that

.

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Dated this
(b)

Signature.

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(b)
To: The Registrar of Trade Marks,

"

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e-

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day of

, 19

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P.O. Box 30031,
Nairobi.

54 of 86

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