Rev. 2009]

CAP. 506

Trade Marks

stated fully in the accompanying Statement of Case.
†(2) (e) …………………………….…………………………...............
of …………………………………………………………………………......
who claims that the Trade Mark[s] shown in the accompanying Statement of
Case was [were], in respect of the following goods, namely:
……………………………………………………………………………........
……………………………………………………………………………........
and on the (f) ……………………….. day of …………………, 20 ………....
transmitted to (g) him [or to (h) ……………………………………………....
of …………………….………………………………………………………..
(who was his predecessor in title)] by or from (i) …………………………….
............................................................................................................................
of…………....…………………………………................................................
by whom the Trade Mark was then used in respect of the following goods,
namely ……………….……………………………….. all in circumstances
that are stated fully in the accompanying Statement of Case, for approval by
the Registrar of the aforesaid transmission.

123
[Subsidiary]
(e) Here insert the
name and trade or
business address
of the person who
claims a transmission
to him.
(f) Insert here
the date of the
transmission which
must not precede the
appointed day.
(g) Strike out the
words that are not
applicable.
(h) Insert here the
name and trade or
business address of
the predecessor in
title, if any.
(i) Insert here the
name and address
of the person who
transmitted.

Dated this …………………. day of ………………………, 20………
		
To: The Registrar of Trade Marks,
P. O. Box 30031,
Nairobi.

(j) ………………...............

(j) Signature.

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