xciii

Here insert the trade or business address and description of the applicant(s) or
his (their firm).
xciv
Here designate the goods/service to be struck out.
xcv

Signature.

xcvi

Here insert the name, trade or business address and description of the
registered proprietor.
xcvii

Signature.

xcviii

Here insert name, trade or business address and description.
Here fill in full particulars.

xcix
c

Signature.

ci

Here state full name and address.
Strike out the word (or words) that is (are) not applicable.

cii

ciii

Signature.

civ

Here state full name and address.

cv

Signature.

cvi

The Registrar's direction should be obtained if the class is not known.
Here specify the goods or services, in the class stated in respect of which the
search is to be made.
cvii

cviii

Signature.
Address.

cix
cx

These words may be varied to suit other cases.
These words may be varied to suit other cases.
cxii
Strike out words that are not applicable.
cxi

cxiii

Here set out the particulars which the Registrar is required to certify.

cxiv

Strike out words that are not applicable.
Strike out words that are not applicable.

cxv

cxvi

Signature.
Address.

cxvii

cxviii

No fee will be payable on a request on Form TM/SM 27 to enter an initial
address for service as part of a registration if it accompanies one of the Forms
TM/SM 8, TM/SM 12, TM/SM 13, TM/SM 31.
cxix
Here insert the full name and trade of business address of the person making
the request.
cxx
Strike out from the words in italics those that are not applicable and strike out
one of the words "Proprietor" or "User" as may be the case.
cxxi
Additional numbers may be given in a signed schedule on the back of the form.
cxxii
Cancel words that are not applicable.
cxxiii

State here the precise entry or changed entry desired.

cxxiv

Signature.

cxxv

Here insert the name of the public authority ordering the change and the date
thereof.
cxxvi

Signature of the registered proprietor of registered user as the case may be.

cxxvii

Here state full name and address.

cxxviii

Signature.
To be signed by the person interested or his agent.

cxxix
cxxx

Here state the name and address of the registered proprietor.

Select target paragraph3