102
[Subsidiary]
L.N. 146/2003.
CAP. 506
[Rev. 2009
Trade Marks
2. Application is hereby made for registration of the above trade mark as
(check one):
a trade mark other than a trade mark listed below
a certification trade mark
a defensive trade mark (if a defensive trade mark is applied
for a statement of case and statutory declaration as required
under r. 36 (1) must accompany this application)
a collective trade mark (if a collective trade mark is applied
for a copy of the rules governing the use of the trade mark
must accompany this application)
3. *
Class
Goods/Services
4. Additional information, if any* ……………………………………………
…………………………………………………………………………
…………………………………………………………………………
5. Proposed proprietor
Name: …………………………………………………………………..
Trade or business address: ……………………………………………..
………………………��……………………………………………….
Trading style (if any): ……………………………………………….
*Applicant may use separate sheet where necessary
Date: ……………………………………
Signature: ………………………………
To: The Registrar of Trade Marks.