Rev. 2009]
CAP. 506
Trade Marks
107
[Subsidiary]
FORM TM 10
L.N. 146/2003.
Renewal Of Registration Of Trade Mark
(rules 64 (1), 65, 67, 68)
Name and address of person leaving the registration fee:
…………………………………………………………………………………
…………………………………………………………………………………
………………………………………………………………………................
I, the person described above, leave the prescribed registration fee for
the renewal of the following trade mark:
Trade Mark No. ……………………………………………………………....
Registered proprietor: ………………………………………………………...
………………………………………………………………………...
I am (check one)
the registered proprietor of the trade mark
not the registered proprietor of the trade mark but have been
directed by the registered proprietor to pay the fee
The notice of renewal should be sent to the following address:*
…………………………………………………………………………………
…………………………………………………………………………………
…………………………
Date: ……………………………….
Signature: …………………………….
To: The Registrar of Trade Marks.
*The person completing the form to provide name of addressee.