On behalf of my said firm) ………………………………………………………………
……………………………………………………………………………………………
for the striking out of (2) ………………………………………………………………..
from the goods for which the trade mark No. ……………………………………… is
registered in Class …………………………………………………..
(2) Here designate
the goods to struck
out.
Dated this ……………………….. day of ………………………………….. 200………
(3) Signature.
(3) ……………………………………………..
The Registrar
The Trade Marks Office,
P.O. Box 100
BLANTYRE
LAWS OF MALAWI
Trade marks
Trade Marks Regulations
Cap. 49:01
(Subsidiary)
MALAWI
Form TM. No. 25
Section 39(1).
Regulations 85, 86 and 87.
TRADE MARKS ACT
(CAP. 49:01)
Fee: 10s.
Request by Registered Proprietor of a Trade Mark that a Disclaimer or Memorandum
relating thereto may be Registered.
Request is hereby made by (1) of …………………………………. For the addition to
the entry in the register in connection with trade mark No. …………….. in Class.
…………………………………………
of
the
following
…………………………………………..
namely:
…………………………………………………………………………………………….
…………………………………………………………………………………………….
…………………………………………………………………………………………….
…………………………………………………………………………………………….
(1) Here insert the
name, trade or
business address
and description of
the
registered
proprietor.
Dated this ……………………….. day of ………………………………….. 200………
(2) Signature.
(2) ……………………………………………..