41
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
Representations of a large size may be folded, but must then be mounted upon linen
or other suitable material and affixed hereto.
Application is hereby made for Registration in Part * of the Register of the
accompanying Trade Mark in Class...........
............................................................
in
respect
.....................................................................................................
of
(a)
.......................................................................................................................................
......................................................
.......................................................................................................................................
.....................................................
.......................................................................................................................................
......................................................
in
the
name
of
(b)
.......................................................................................................................................
.......................
whose
trade
or
business
address
is
..............................................................................................................................
(c)
.......................................................................................................................................
.....................................................
trading
as
(d)
.......................................................................................................................................
................................
by whom it is (e) proposed to be used and who claim(s) to be the proprietor(s)
thereof.
(f)
.......................................................................................................................................
..............................................
Dated the ................................................
19........................................
(Signature)............................................................
To The Registrar of Trade Marks,
Registrar-General's Department.
day
of
...................................