IP/NII/NGA/T/2
Page 83
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TRADE MARKS ACT
(FEE STAMP-ITEM 19)
Section 43-First Schedule of the Act-Regulation 94
Application to the Appropriate Authority for an order Striking out or
Varying all 'entry in the Register relating to Certification Trade
Mark or Varying the deposited Regulations
FORM
(To be accompanied by an unstamped copy and a Statement of
Case in duplicate).
IN THE MATTER OF Certification Trade Mark No
.
registered in the name of
in Class
.
I (or We), (a)
.
being a person (or persons) concerned, hereby apply for an order of the
appropriate authority that:
I. (b) The Entry in the Register in respect of the above-mentioned
Trade Mark may be
(c) struck out/varied in the following manner
.
2. (b) The deposited Regulations governing the use of the abovementioned Trade Mark may be varied in the following manner
.
The grounds of my (our) application are as follows:
.
........................................................................................ .
........................................................................................ .
Address for service in Nigeria in these proceedings:
.........................................................................................
........................................................................................ .
DATED this
day of
(d)
(a) Here state full name and address.
(h) Strike out either paragraph that is not applicable.
(c) Strike out one of these lines.
(d)
Signature.
19
..
.