IP/N/1IKENfTll
Page 102

rSubsidiary J
FEE

Form TM 2]

She 10

~PPLTCATION BY REGISTERED PROPRIETOR OF TRADE MARK FOR THE
CANCELLATION OF ENTRY THEREOF IN REGISTER

(Paragraph (c) of section 37 (1) and rules 85 and 86)
~N THE MATTER OF

Trade Mark No

.

Class

.

Name of Registered Proprietor

.

Trade or business address

.


Description

Application is hereby made by
(a)

the

Here insert
trade or

business address
and description
of
the appli­
cantts) or his
(their) firm.

.


of (a) ...•.••.....................•.................•... [or ·by

· . . . . . . . . . . . . . . . .. a member of the Firm of

.


· . . . . . . . . . . . . . . . . . . . . . . . . . .. of (a) ............•..........•....
on behalf of my said Firm]

,

.

·

.

~

that the entry in the Register of Trade Marks of the Trade Mark
in Class

No.

'

.

may be cancelled.
Dated this
.(b) Signature.

day of
(b)

, 19

.
.

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

Nairobi.


Note.-:-Rule 85 requires that an application in form TM 21 shall
be signed by the Registered Proprietor of the Trade Mark, or other
person entitled under that rule, unless in exceptional circumstances
the Registrar otherwise allows.

56 of 86

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