IP/N/l/NGA/T/2
Page 97

FORM 50
TRADE MARKS ACT
(FEE STAMP-ITEM 6/ or 6g)
Application/or cancellation 0/ entry 0/ a Registered User 0/ a Trade
Murk, iSection 34(5)(c)-Regulation 100). (To he accompanied
hy a Statement of the Grounds /01' the application)
IN THE MATTER OF Trade Mark(s) No.(s)
registered in Class
in the name of (a)

.

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

Application is hereby made by (b)

.

(whose address for service in Nigeria in these proceedings is
.
............................................................. for the cancellation of
the entry under the above-mentioned registration(s) of (c)
..
.... .. .. .. . . .. . .. .
.. . .. .
as a registered user thereof in respect
of (d)
.
The grounds of this application, particulars of which are given in detail
in the accompanying statement of case, are (e).

DATED this
day of
To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.

19

..

*Additional numbers may be given in a signed Schedule on the back of
the Form.
(a) Here insert the name, trade or business address and description of
the registered proprietor as entered in the Register.
(b) Here insert the name and address of the applicant for cancellation.
(c) Here insert the name, trade or business address and description of
the registered user as entered in the Register.
(d) Here insert goods in respect of which the registered user is entered.
(e) Here insert one or more of the sub-paragraphs of section 34(5)(c)
numbered (i), (ii), (iii).
(/) Signature.

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