xciii Here insert the trade or business address and description of the applicant(s) or his (their firm). xciv Here designate the goods/service to be struck out. xcv Signature. xcvi Here insert the name, trade or business address and description of the registered proprietor. xcvii Signature. xcviii Here insert name, trade or business address and description. Here fill in full particulars. xcix c Signature. ci Here state full name and address. Strike out the word (or words) that is (are) not applicable. cii ciii Signature. civ Here state full name and address. cv Signature. cvi The Registrar's direction should be obtained if the class is not known. Here specify the goods or services, in the class stated in respect of which the search is to be made. cvii cviii Signature. Address. cix cx These words may be varied to suit other cases. These words may be varied to suit other cases. cxii Strike out words that are not applicable. cxi cxiii Here set out the particulars which the Registrar is required to certify. cxiv Strike out words that are not applicable. Strike out words that are not applicable. cxv cxvi Signature. Address. cxvii cxviii No fee will be payable on a request on Form TM/SM 27 to enter an initial address for service as part of a registration if it accompanies one of the Forms TM/SM 8, TM/SM 12, TM/SM 13, TM/SM 31. cxix Here insert the full name and trade of business address of the person making the request. cxx Strike out from the words in italics those that are not applicable and strike out one of the words "Proprietor" or "User" as may be the case. cxxi Additional numbers may be given in a signed schedule on the back of the form. cxxii Cancel words that are not applicable. cxxiii State here the precise entry or changed entry desired. cxxiv Signature. cxxv Here insert the name of the public authority ordering the change and the date thereof. cxxvi Signature of the registered proprietor of registered user as the case may be. cxxvii Here state full name and address. cxxviii Signature. To be signed by the person interested or his agent. cxxix cxxx Here state the name and address of the registered proprietor.

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