"being".
xix
For additional matter if required.
xx

Signature
On representation of the Trade/Service Mark to be affixed within this space. It must correspond
exactly in all respects with the representation affixed to the application form.
xxii
Any representation larger than the space provided may be folded but must then be mounted
upon linen or other suitable material and affixed hereto.
xxi

xxiii

Here insert words and number identifying the matter or proceeding.

xxiv

Signature.
Here state full name and address.

xxv

xxvi

If registration is opposed on the grounds that the mark resembles marks
already on the Register, the numbers of those marks and of the Journal in which
they have been advertised are to be set out.
xxvii

Signature.
Signature.

xxviii
xxix

Here insert name and address.

xxxStrike
xxxi

out words here that are not applicable, so as to state ONE of the cases (1) to (5) only.

Signature.
Address.

xxxii

xxxiii

Cap. 326

xxxiv

This form will be returned if it is filed more than three months before the
expiration of the last registration.
xxxv
This form will be returned if it is filed the more than three months before the
expiration of the last registration.
xxxvi

Insert here the name and address of the person leaving the fee.

xxxvii

If the fee is left by the proprietor himself, this passage should be struck out.
If the fee is not left by the proprietor himself, insert his name and address
here.
xxxviii

xxxix
xl

Signature of the person leaving the fee.
Address of the person signing.

xli

If the request is signed by the Registered Proprietor strike out here the words
"The Registered Proprietor" and substitute the word "me".
xlii

Signature.
Signature.
xliv
Address.
xlv
Signature.
xlvi
Address.
xliii

xlvii

Name and address of registered proprietor or other assignor or transmitter.
Full name, trade address and nationality of transferee.
xlix
Name of transferee.
l
Description of transferee.
li
Trade or business address of transferee.
lii
Additional numbers may be given in a signed schedule on the back of the form.
liii
Date of acquisition of proprietorship.
liv
Full particulars of the instrument of assignment or transmission, if any, or
statement of case.
xlviii

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