"being". xix For additional matter if required. xx Signature On representation of the Trade/Service Mark to be affixed within this space. It must correspond exactly in all respects with the representation affixed to the application form. xxii Any representation larger than the space provided may be folded but must then be mounted upon linen or other suitable material and affixed hereto. xxi xxiii Here insert words and number identifying the matter or proceeding. xxiv Signature. Here state full name and address. xxv xxvi If registration is opposed on the grounds that the mark resembles marks already on the Register, the numbers of those marks and of the Journal in which they have been advertised are to be set out. xxvii Signature. Signature. xxviii xxix Here insert name and address. xxxStrike xxxi out words here that are not applicable, so as to state ONE of the cases (1) to (5) only. Signature. Address. xxxii xxxiii Cap. 326 xxxiv This form will be returned if it is filed more than three months before the expiration of the last registration. xxxv This form will be returned if it is filed the more than three months before the expiration of the last registration. xxxvi Insert here the name and address of the person leaving the fee. xxxvii If the fee is left by the proprietor himself, this passage should be struck out. If the fee is not left by the proprietor himself, insert his name and address here. xxxviii xxxix xl Signature of the person leaving the fee. Address of the person signing. xli If the request is signed by the Registered Proprietor strike out here the words "The Registered Proprietor" and substitute the word "me". xlii Signature. Signature. xliv Address. xlv Signature. xlvi Address. xliii xlvii Name and address of registered proprietor or other assignor or transmitter. Full name, trade address and nationality of transferee. xlix Name of transferee. l Description of transferee. li Trade or business address of transferee. lii Additional numbers may be given in a signed schedule on the back of the form. liii Date of acquisition of proprietorship. liv Full particulars of the instrument of assignment or transmission, if any, or statement of case. xlviii

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