IP/N/I fKENff/1 Page 121 (Subsidiary] FEE Form TM 41 l . J ApPLlc:\TrO'J TO THE REGISTR:\R UNDER SECTION FOR DIRECTIO:--':S OF TR.\OE FOR THE !\1 ARKS IN _ AND RULE 80 25 (7) ADVERTISEMENT OF OTHER\\iISI3 THAN 1st Sch., item 8b AN ASSIGNMENT CONNEXION WITH THE GOODWILL Or THE BUSINESS (To he accom ponicd by a duplicate) Application is hereby made by (a) ..........•............... .............................................................. , '0 . of . for the Registrar's Directions with respect to the advertisement of an assignment to him [them] of the following Trade Marks otherwise than' inconncxion with the goodwill of the business in which they were used at the time of assignment, namely-·· (1) Registered .Trade Marks: Class .Registration Number Goods in respect of which the Mark has been used and is assigned (h) all of which are ,?r were registered •• 0 • 0 o 0 0 ••• • •••• 0 0 ••••••••••• 0 • 0 ••• •••••••••••••• ; • 0 0 ••• the name of (c) . of •• , 10 . who is the assignor. Unregistered Trade Marks (d), all being Marks used in his business at the time of the assignment in respect of the goods stated (c) .. 0 0 •••• 0 ••••••••••••••••••••••••••••••••••••••••• ~ of who is the assignor: Representation of Mark (b) Additional Marks and num­ hers may be given in a signed schedule on the back of tho form. (2) below by (a) Here insert the name and trade or business address of the assignee (appli­ cafit), , (c) Here insert the name and trade or business address of the proprietor (3S­ signor). (d) Only those unregis­ tered trade marks Goods in respect 'of which the Mark has been used and is assigned (b) The date of assignment was the . 0 •••• 0 •••••••••••••• 0 day of ...................... , 19..•. The instrument effecting the assignment is sent herewith, together with a copy thereof. passing by tbe one assignment and used in the same business and for the same goods as those for which one or more of the registered marks are registered may be stated here. It is suggested that advertisement shall be directed as follows, namely, in Dated this o' • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 'day of , 19 . (e) ...•..........................•••.••..•. (e) Signature. To: The Registrar of Trade Marks, PoO Box 30031, Nairobi. 75 of 86