67
TRADE MARKS REGULATIONS, 1970 (L.I. 667)

in Class ............................................................... may be cancelled.
Dated
this
...........................................................day
of ........................................19....................................................
(Signature).................................................................
To The Registrar of Trade Marks,
Registrar-General's Department,
P.O. Box 118,
Accra.
_______________
(a) Here insert the trade or business address and description of the applicant(s) of
his (their) firm.

Form TM—No. 21
TRADE MARKS REGULATIONS, 1970
Fee: N ¢ 2.00
APPLICATION BY REGISTERED PROPRIETOR OF TRADE MARK TO THE
REGISTRAR TO STRIKE OUT GOODS FROM THOSE FOR WHICH THE TRADE
MARK IS REGISTERED
(Paragraph (d) of section 34 (1) and regulation 44 (1))
IN
THE
MATTER
OF
Trade
Mark
.........................................................................................................................

No.

registered
in
Class..............................................................................................................................
.................................
Name
of
Registered
Proprietor.......................................................................................................................
....................

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