124
[Subsidiary]
CAP. 506
Trade Marks
FORM TM 41
[Rev. 2009
Fee
1st Sch.,
item 8b
Application To The Registrar Under Section 25 (7) And Rule 80 For
Directions For The Advertisement Of An Assignment Of Trade Marks
Otherwise Than In Connexion With The Goodwill Of The Business
(To be accompanied by a duplicate)
(a) Here insert the
name and trade or
business address
of the assignee
(applicant).
(b) Additional Marks
and numbers may
be given in a signed
schedule on the back
of the form.
(c) Here insert the
name and trade or
business address
of the proprietor
(assignor).
(d) Only those
unregistered trade
marks passing by
the one assignment
and used in the
same business and
for the same goods
as those for which
one or more of the
registered marks may
be stated here.
Application is hereby made by (a) ………………………………..…..
………………………………………………..………………..........................
of …………………………………………………………………………… ..
for the Registrar’s Directions with respect to the advertisement of an assignment
to him [them] of the following Trade Marks otherwise than in connexion with
the goodwill of the business in which they were used at the time of assignment,
namely –
(1) Registered Trade Marks:
Goods in respect of which
Registration Number Class
the Mark has been used
(b)
and is assigned
all of which are or were registered in the name of (c) ………………………..
..................................... of ……………………………………....…………….
………………………............. who is the assignor.
(2) Unregistered Trade Marks (d), all being Marks used in his business
at the time of the assignment in respect of the goods stated below by (c)………
……………………………................................................................................
of …………………………………...................................................................
who is the assignor:
Representation of Mark
Goods in respect of which the
(b)
Mark has been used and is
assigned
The date of assignment was the …………………….................. day of
……………......................................……………….., 20 …………….
The instrument effecting the assignment is sent herewith, together with
a copy thereof.
It is suggested that advertisement shall be directed as follows, namely, in
….…………………………………………………………………………....
Dated this ……………… day of ………………………, 20 ………...
(e) Signature.
To: The Registrar of Trade Marks,
P. O. Box 30031,
Nairobi.
(e) ………………………………….