IP/NI 1IKENfTl 1
Page 110
(Subsidiary]
FEE
Form
T~1
30
1st Sch., items
23, 23a
REQUEST FOR GENERAL CERTIFICATE OF THE REGISTRAR (INCLUDING
CERTIFICATE OF REGISTRATION OF A TRADE MARK)
(Rule 109)
•...•• These
words may .be
varied to suit
other cases.
(a) Here set out
the
particulan
which the Regis
trar is required
to certify.
(b) Strike out
words that are
not applicable.
IN
THE MATTER OF
*the Trade Mark No.
registered i.n
Class
.
pi
I [We]
.
hereby request the Registrar to furnish me [us] with (b) his Certificate
that (a) .. '
.
..... .. .. ......... .. ....... . ... .. ... ...... . ...... ...... ....... .
(b) a Certificate. of Registration of the Trade Mark (b) for use in
obtaining registration abroad.
Dated this
(c)
Signature.
(d) Address.
day of
0
19
.
(c) ...•...••...............•....•........•.
(d)
•.
To: The Registrar of Trade Marks,
P.O. Box 30031,
Nairobi.
Rule11l. (1) Where a certificate of registration ofa trade .nark
is issued for use in obtaining registration abroad. the Registrar shall
include in. the certificate a copy of the mark. an? may require the
applicant for the certificate to furnish him with a copy of the mark
suitable for the purpose, and if the applicant fails to do so may refuse
to issue the certificate.
(2) The Registrar may state: in the certificate such particulars
concerning the registration of the mark as to him seem fit, and may
omit therefrom reference to any disclaimers appearing in the register;
but in the last-mentioned case the certificate shall be marked "For use
in obtaining registration abroad only".
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