(1) ……………………………………………..

Declared
at
…………………….
…………..…………… , 200……

this

……………….…..

day

of

affidavit/ solemn
declaration.
(2) Signature and
title of authority
before whom the
affidavit/solemn
declaration
is
made.

Before me (2)…………………………………………….
…………………………………………….
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. 19
Section 39.
Regulations 81, 85 and 102.
TRADE MARKS ACT
(CAP. 49:01)
Fee: 13 or nil.
Request for Alteration of Trade or Business Address or Address for Service in
Register of Trade Marks.
IN THE MATTER OF the trade mark(s) No. ……………………………………….
*registered in Class ……………………………
I/We, ………………………………………………………………………………. of
……………………………………………………………………………………………
being the registered (1) proprietor(s)/user(s) of the trade mark(s) numbered as above,
request that my/our trade address in the register of trade marks be altered to
……………………………………………………………………………………….
………………………………………………………………………………………….
Dated this ……………………….. day of ………………………………….. 200………

(2) ……………………………………………..

*Additional
numbers may be
given in a signed
schedule on the
back of the form.
(1) Strike out one
of these words.

Signature.

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