84 TRADE MARKS REGULATIONS, 1970 (L.I. 667) Dated this ................................... .......................................... day of ....................................................19 (f) ................................................................. ________________ (a) Here insert the full name and trade or business address of the person making the request. (b) Strike out from the underlined word those that are not applicable and strike out one of the words "proprietor" or "user" as the case may be. Additional numbers may be given in a signed schedule on the back of the form. (c) Cancel words that are not applicable. (d) State here the precise entry or changed entry desired. (e) Here insert the name of the public authority ordering the change and the date thereof. (f) Signature of the registered proprietor or registered user, as the case may be. Form TM—No. 32 TRADE MARKS REGULATIONS, 1970 Section 36—First Schedule of the Act—Regulation 12 REGULATIONS FOR GOVERNING THE USE OF CERTIFICATION TRADE MARK NO. in Class ....................................................................................................................................... ............ in respect of (a) ....................................................................................................................................... ...............................