103
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
Goods in respect of which the mark has been used and is assigned
Registration number
Class
*
all
of
which
are
or
were
registered
in
the
(c)....................................................................................................
name
of
of....................................................................................................................................
...............................................
2. Unregistered trade marks, all being marks used in his business at the time of
assignment
in
respect
of
the
goods
stated
below,
by
(c)...................................................................................................................................
..................
of
.......................................................................................................................................
.........................................
who is the assignor:
Goods in respect of which the mark has been used and is assigned
Representation of mark
*
The date of assignment was the .................................. day of ................................
19......................................
Dated the ...............................................
...............................................
day of ........................................... 19
(Signature) ...............................................................
To The Registrar of Trade Marks,
Registrar-General's Department.
P.O. Box 118,
Accra.
__________________
(a) name and trade or business address of the assignee (applicant).