Rev. 2009]
Trade Marks
CAP. 506
121
[Subsidiary]
FORM TM 39
Fee
1st Sch.,
item 8
Application For The Certificate Of The Registrar Under Section
25 (5) And Rule 79 With Reference To A Proposed Assignment Of
A Registered Trade Mark
(To be accompanied by a Statement of Case in duplicate and a copy of
the proposed assignment)
IN THE MATTER OF Trade Marks[s] No. [s] …………………….....
.......................registered in the name of ………………………………………
………………………………….......................................................................
in Class[es] …………………………………………..……………………….
……….………………………………………………………………………..
Application is hereby made by (a) ……………………………..……..
of …………………………………………………………………………......
(a) Here insert the
name and trade or
business address
of the registered
proprietor.
being the Registered Proprietor[s] of the above-numbered registered
Trade Mark[s], for the Registrar’s Certificate under section 25(5) with (b) Here insert the
reference to a proposed assignment of the registered Trade Mark[s] No.[s] name and trade or
…………………………….. to (b) ……………............................................... business address
of the proposed
……………………………………………………………….………….......... assignee.
of …………………………………………………………...............................
in circumstances that are stated fully in the accompanying Statement of Case.
Dated this ………………………… day of ……………, 20…………
(c) ……………………………….
To: The Registrar of Trade Marks,
P. O. Box 30031,
Nairobi.
(c) Signature.