132 [Subsidiary] CAP. 506 Trade Marks FORM TM 51 [Rev. 2009 Fee 1st Sch., items 6f, 6g Application For Cancellation Of Entry Of A Registered User Of A Trade Mark (a) Additional numbers may be given on a signed schedule on the back of this form. (b) Here insert the name, trade or business address and description of the registered proprietor as entered in the Register. (c) Here insert the name and address of the applicant for cancellation. (d) Here insert the name, trade or business address and description of the registered user as entered in the Register. (e) Here insert the goods in respect of which the registered user is entered. (f) Here insert one or more of the sub-paragraph (c) of section 31 (8) numbered (i), (ii), (iii). (Section 31 (8) (c) and Rule 99) (To be accompanied by a Statement of the Grounds for the application) IN THE MATTER OF Trade Mark[s] No. [s] ………………….. (a) registered in Class …………… in the name of (b) …………..…………….... Application is hereby made by (c) …………………………………..... ………………………………………………………………………………... whose address for service in Kenya in these proceedings is ………………… ………………………………………………………………………………... for the cancellation of the entry under the above-mentioned registration[s] of (d) .……………………………………………………………………………...... ……………........................................................................................................ as the registered user thereof in respect of (e) …………………………… ………………………………………………………………………………… ………………………………………………………………………………… The grounds of this application, particulars of which are given in detail in the accompanying statement of case, are (f) …………………………......... ……………………………………………………………………………........ ……………………………………………………………………………........ Dated this ………………… day of ………………………, 20………. (g) ……………………………………….. (g) Signature. To: The Registrar of Trade Marks, P. O. Box 30031, Nairobi.