.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
have appointed iii 2 ................................................................................................................
of ......................................................................................................................................
..........................................................................................................................................
to act as my (or our) agent for iv 3............................................................................................
.......................................................... No. .........................................................................
and request that all notices, requisitions and communications relating thereto may be sent to
such agent at the above address.
I (or We) hereby revoke all previous authorizations, if any, in respect of the same matter or
proceeding.
I (or We) hereby declare that I am (or we are) a v 4 ..................................................................
Dated this .............................. day of .............................. 20........
vi
5 ......................................................................................................................................
Address vii 6 .........................................................................................................................
.........................................................................................................................................
(To be struck out if the person appointing the Agent desires his own address to be treated as
the address for service after registration.)
I (or We) also authorize the said viii 7 .....................................................................................
to complete Form TM/SM 28 requesting the entry of an address for service as part of any
registration obtained under the above authorisation.
Dated this .............................. day of .............................. 20........
ix
8 ......................................................................................................................................
Address x 9 ..........................................................................................................................
.........................................................................................................................................
To: The Registrar of Trade/Service Marks,
Dar es Salaam,
Tanzania.
FORM TM/SM 2
APPLICATION FOR REGISTRATION MARK IN THE REGISTER
TANZANIA
THE TRADE AND SERVICE MARKS ACT (CAP. 326)
(Section 21 and Regulation 17)
FEE
SHS. 50,000/= xi
1
xii
xiii
2
Application is hereby made for Registration in the Register of the accompaying Mark in Class
....................................... in respect of xiv 3 ..........................................................................
.......................................................................................................................................
.......................................................................................................................................
.......................................................................................................................................