(4) The trade mark at the time of the assignment was (4) not/used in a business in the
goods in question, and the assignment (4) took/ did not take place on or after the
commencement of the Act otherwise than in connection with the goodwill of a business
in the goods, (4) and there is sent herewith a copy of the Registrar’s direction to
advertise the assignment.

(3) Here insert full
particulars of the
instrument
of
assignment
or
transmission,
if
any, or statement
of case.

Dated this ……………….….. day of …………..…………… , 200……

(4) Strike out any
words
not
applicable
(See
regulations 76).

(5) ……………………………………………..

(5) Signature.

My/Our address for service in Malawi:…………………………………………….
…………………………………………….
NOTE: The instrument under which the transferee claims should preferably accompany this form.

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. 18
Section 27.
Regulation 74.
TRADE MARKS ACT
(CAP. 49:01)

Affidavit/Solemn Declaration (only to be furnished when requested by Registrar) in
support of Statement of Case accompanying form TM. No. 16 or No. 17.
I, ………………………………………………………………………………………. of
……………………………………………………………………………………………
do hereby make *oath and say/solemnly and sincerely declare that the particulars set out
in the statement of case, exhibit marked ………………………., and left by me in
connection with my request to be registered as subsequent proprietor of the trade mark
No. ……………………… in Class ………………………….. are true and comprise
every material fact and document affecting the present proprietorship of the trade mark.
And I make this affidavit/solemn declaration conscientiously believing the same to be
true. 	

(1) To be signed
here by the person
making
the

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