81
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
Application is hereby made for registration in part* of the above word(s) as a
defensive
trade
mark
in
Class
......................................................................................................................................
in respect of
(a)
.......................................................................................................................................
...............................................
.......................................................................................................................................
.....................................................
[sic]
(b)
.......................................................................................................................................
........................................
.......................................................................................................................................
.....................................................
of
(c)...................................................................................................................................
................................................
.......................................................................................................................................
.....................................................
trading
as
(d)
.......................................................................................................................................
................................
who is (are) the proprietor(s) of the same trade mark registered in Class (e)
................................................................ in
respect
of....................................................................................................................................
.........................................
under
No..................................................................................................................................
...........................................
According to my (our) information and belief, the word(s) is (are) invented. The
particulars of the facts on which (We) rely in support of this application are set forth
in the accompanying statement of case (f).
Dated this .................................................................... day of ........................ 19
....................................