…………………………………………………………………………………………..
in the same of (2) ………………………………………………………………………
…………………………………………………………………………………………….
of (3) …………………………………………………………………………………….
……………………………………………………………………………………………
trading as (4) …………………………………………………………………………….
who is/are the proprietor(s) of the same trade mark registered in Class (5)
……………………………………………………..,
in
respect
of
……………………………………. under No. …………………………………………
The particulars of the facts on which I/we rely in support of this application are set forth
in the accompanying statement of case (6).
Dated this ……………………….. day of ………………………………….. 200………

(7) ……………………………………………..

should be stated
(3) Here insert the
full
trade
or
business address of
the applicant
(4) Here insert the
trading style (if
any).
(5) Here insert
particulars of the
applicant’s
registration of the
trade mark.
(6) To be furnished
in duplicate.
(7) Signature.

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. 34
Sections 42.
Regulations 40.
TRADE MARKS ACT
(CAP. 49:01)

Regulations for governing the use of Certification Trade Mark No.
……………………………. in Class. ………………………. In respect of (1)
…………………………………………………………………………………………..
(For Official Use)
Advertised in Gazette No. …………………………………………………………. at
page ……………………………………. on the ……………………………. day of
……………………………………………….
Date of application and registration ……………………………………… 19…………)

The Registrar 

The Trade Marks Office, 

P.O. Box 100
BLANTYRE

(1) Here specify the
goods
of
the
registration.

Select target paragraph3