clxi
Here insert the goods in respect of which the registered user is entered.
Here insert one or more of the subparagraph(s) of section 31(8) numbered (i),
(ii), (iii).
clxii
clxiii
Signature.
clxiv
Insert here the name of the registered proprietor.
Insert here the name and trade or business address of the registered user.
clxv
clxvi
Signature.
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