IPIN/I IKENff/1 Page 120 [Subsidiary] to be sold or otherwise traded in in (d) .......................••".] , . in circumstances that are stated fully in the accompanying Statement of Case. (e) Here insert the name and trade or business address of the person who claims a trans­ mission to him. t (2) (e) . . . . . . . eo'" '0 .. of " .. ' . '0 ' . who claims that the Trade Mark[s] shown in the accompanying State­ ment of Case was [were). in respect of the following goods. namely: ................................................................ , (J) Insert hero the date of the t ran s mission which must not precede the ap­ pointed day. (g) Strike out the words that are not applic­ able. (Ii) Insert here the name and trade or business address of the predecessor in title, if any. (n Insert here the name and address of the person who transmitted. . and on the (f) ..... , .... , ..... day of ., ..............• J9." .• transmitted to (g) him for to (h) of .. , , , , (who was his predecessor in title)] by or from (i) .of . , . : ,. ,., .. , . by whom the Trade Mark was then used in respect of the following goods, namely , " . all in circumstances that arc stated fully in the accompanying State­ ment of Case. for approval by the Registrar of the aforesaid trans­ mission. Dated this (1') Signature. -, . . . . . . . .. day of ..•...•...... , .. , 19 . (11 ••••••••••••••• , •••••••••••••••••••••••• To: The Registrar of Trade Marks. P.O. Box 30031, Nairobi. 74 of 86

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