IP/N/lIKENfT/l
Page 86
[Subsidiary]
FOURTH SCHEDULE
(r. 4)
FORMS
For
stamp duty
Schedule to
the Stamp Duty
Act.
Form TM I
FORM
see
OF AUTHORIZATION OF AGENT IN A MAllER OR PROCEEDING
UNDER TH!! ACT
(Rule 14)
• The full name
all partners
in a firm must
be inserted, and
the
kind and
*1 [We]
of
country of
corporation
in
of
bodies corporate
stated.
Ca) Here state
name
and
address of agent.
(b) Here state
the
particular
matter or pro
c e e din g for
which the agent
is appointed giv
ing 'the refer
ence number if
known.
(c) Here state
nationality.
have appointed (aJ
.
of
.
to act as my [our] agent for (b)
.
............................................ No
.
and request that all notices, requisitions and communications relating
thereto may be sent to such agent at the above address.
I [We] hereby revoke all previous authorizations, if any, in respect
of the same matter or proceeding.
I [We] hereby declare that I am [we are] a (c)
Dated this
To
be
by the
person appoint
ing the agent.
(e-) I·lere insert
[he full trade or
business address
of
the person
appointing
the
agent.
(d)
signed
day of
.
,·19
.
(d)
.
Address (e) ............................................•.•.
(To be struck out if the person appointing the agent desires his
own address to be treated as the address for service after registratlon.)
I [\Ve] also authorize the said (a)
.
.................... to complete form TM 32 requesting the entry
of an address for service QS part of any registration obtained under the
above authorization.
Dated this
(d)
day of
, 19
.
"
Address (e) •........•......•.......•.........•...•...•.•...
To: The Registrar of Trade Marks,
P.O. Box 30031,
Nairobi.
40 of 86