44
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
Form TM—No. 4
TRADE MARKS REGULATIONS, 1970
Fee: N ¢ 5.00
APPLICATION FOR REGISTRATION OF CERTIFICATION TRADE MARK UNDER
SECTION 36
(To be accompanied by two extra duplicates)
One representation to be affixed within this space and 4 others to be sent on
separate Forms TM 2 (a).
Representations of a larger 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 A of the Register of the
accompanying Certification Trade Mark in Class .................... in respect of (a)
....................................... in the name of (b) .......................................................
whose
address
is(c)
.......................................................................................................................................
..............
Dated this ............................................................ day of .................................19
...........................................
(Signature)......................................................................
To The Registrar of Trade Marks,
Registrar-General's Department
P.O. Box 118,
Accra.
______________
(a) Here specify the goods. Only goods included in one and the same class should
be specified. A separate application form is required for each class.
(b) Here insert the full name, description and nationality of the applicant. If the
applicant is a body corporate, the kind and country of incorporation should be stated.
(c) Here insert the full address of the applicant.