IPIN/lINGA/T/2
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13
TRADE MARKS ACT
(FEE STAMP-ITEM 11 c)
Additional Fee to accompany Renewal Fee (Form 12) within one month
after advertisement of Non-payment of Renewal Fee
(To accompany Form 12)
FORM

In pursuance of the notices issued by the Registrar, I (or we) hereby
transmit the additional fee (along with Form 12) for the renewal of the

Registration of the trade Mark No. .
Class
.
DATED this

day of
(c)
(d)

In

,19

.
.
.

To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
N.B.-This Form must be signed by the person(s) signing the Form 12
which accompanies it.
(a) Signature.
(b) Address.

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