IPIN/I/KENff/1
Page 128
(Subsidiary]
FEE
Form
T~1
49
1st Sch.,
items Sb, 6c
ApPLICATION BY THE REGISTERED PROPRIE10R OF A TRADE l\1ARK FOR
VARIATION OF THE REGISTRATIO~ OF A REGISTERED USER THEREOF
WITH REGARD TO THE GOODS OR THE CONDITIONS OR RESTRICTIONS
(Section 3 J (8) (a) and Rule "J7)
(To be accompanied by a Statement of the Grounds for the application
and the written consent (if given) of the Registered Usrr)
(a) Here insert
(he full name,
description and
trade or business
address of the
registered
pro
prietor.
Application is hereby made by (a) .,.,.", .. ,."., •....... ,',
(h> Additional
numbers may be
given in a signed
schedule on the
hack
of
the
form,
the proprietor of Trade Mark[s] No.[s] (b) ............•.....•....•
registered in Class
(c) Here insert
the specifications
in the Register.
..................................
(d) Here insert
the full name.
description and
trade or business
address of the
registered user.
in respect of (c) •.••. :.4
'
.
. . . . . . . . . . . . . . . . . . . . . "
. . . . . . . . . . . . . . . . . . . . . . . .
that the registration of (d) .. ,
,
, ...•..............
as a registered user of the above-numbered Trade Mark[s] in respect
(e) Here insert
the goods
in
respect of which
the user is reg
istered.
of (e) ••....•.......••.... , .....•...•••••••••.•••••• ~ •••••..•.
(f) Here
state
in terms the
manner in which
il is requested
that the entry
should be varied.
may be varied in the following manner: (f) .. , .. , •...•.•.•.•.•.•.
day of ................• 19 ..•.
0:1 'cd this
(g) .... , .....•.•.•..•...••...•••••••••..•••
(g) Signature.
To: The Registrar of Trade Marks.
P.O. Box 30031,
Nairobi.
82 of 86