IP/NIl/NGA/T/2
Page 53
SECOND SCHEDULE-continued
FORM 5
TRADE MARKS ACT
(FEE STAMP-ITEM Ie or ld)
Application for Registration of Certification
Trade Mark under Section 43 (Regulation 40)
(To be accompanied by two unstamped duplicates)
One representation to be fixed
within this space, and six others to
be sent on separate Forms 3.
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 respect of (a)
in the name of (h)
..
............................... whose address is (c)
.
DATED this
(d)
day of
,19
..
.
To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
(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. lfthe applicant is a body corporate, the kind and country
of incorporation should be stated.
(c) Here insert the full address of the applicant.
(d) Signature.