IP/NIl/NGA/T/2
Page 94
FORM

47

TRADE MARKS ACT
(FEE STAMP-ITEM 6 or 6a)
Application for Registration of Registered User
(To be accompanied by a Statement of Case giving particulars and
slating as required by section 34(1) verified by a statutory declaration
made by lire Proprietor. or hy some person authorised 10 act 011 his
behalf and approved by the Registrar) (Regulation 96)
Application is hereby made by (0)

.

who is (or are) the registered proprietorrs) of Trade Mark(s) No.(s) .....
...........
"registered in Class
in respect
of (h)
that (c)
.
........................................, of (d)
.
trading as (z-)
..
who hereby join in the application. may be registered as a registered user
of the above-numbered registered trade mark(s) in respect of

en

.

........................................................................................ .

subject to the following conditions or restrictions:
(g)

.

(h) The proposea perrnuted use

day of
, 19
use is without limit of period.
DATED this

IS

to end on the
..
The proposed permitted

day of
(i)

19

.
.

To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
"Additional numbers may be given in a signed Schedule on the back of
the Form.
(a) Here insert full name, trade or business address and description of
the registered proprietor(s).
(h) Here insert the specification in the Register.
(c) Here insert the full name, description and nationality of the
individual, firm or body corporate, proposed as registered user. The
names of all partners in a firm must be given in full. In the case of
a body corporate, brief particulars of the kind and country of
incorporation should be stated.
(d) Here insert the full trade or business address of the proposed
registered user.
(e) Here insert the trading style, if any.
(/) Here insert designation of goods (which must be comprised within
the specification).
(g) Write None if there are no conditions or restrictions.
(h) Strike out words that are not applicable.
(i) Signature.

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