…………………………………………
…………………………………………
…………………………………………
…………………….
…………………….
…………………….
Dated this ……………….….. day of …………..…………… , 200……
back of the form
(4) Signature.
(4) ……………………………………………..
The Registrar
The Trade Marks Office,
P.O. Box 100
BLANTYRE
LAWS OF MALAWI
Trade marks
Trade Marks Regulations
Cap. 49:01
(Subsidiary)
MALAWI
Form TM. No. 16
Section 27.
Regulation 71.
TRADE MARKS ACT
(CAP. 49:01)
Fee: 9 or 9(a).
Joint Request to the Registrar by Registered Proprietor and Transferee to register the
Transferee as Subsequent Proprietor of Trade Marks upon the same devolution of
title.
We (1) …………………………………………………………………………………….
and (2) …………………………………………………………………………………….
hereby request, under regulation 71, that the name of (3) ……………………………….
…………………………………………………………………………………………….
carrying on business as (4) ……………………………………………………………….
at (5) ………………………………………………………………………………………
may be entered in the register of trade marks as proprietor of the trade mark(s) No.
……………………………………………. * in class …………………………………..
as from the (6) …………………………………………………………………………….
.(7) ………………………………………………………………………………………..
(1) State name and
address
of
registered
proprietor,
or
other assignor or
transmitter.
(2) State full name,
trade address and
nationality
of
transferee.
(3)
name
transferee.
of
(4) Description of
transferee.
*Additional
numbers may be
given in a signed
schedule on the
back of the form.
(5)
Trade
or
business address of
transferee.
(6)
Date
acquisition
of
of