111 TRADE MARKS REGULATIONS, 1970 (L.I. 667) Form TM—No. 48 TRADE MARKS REGULATIONS, 1970 Fee: N ¢ 14.00; For every other mark N ¢ 1.00 APPLICATION FOR REGISTRATION OF REGISTERED USER (Regulation 49) (To be accompanied by a statement of case giving particulars and stating as required by section 28 (6), verified by a statutory declaration made by the proprietor, or by some person authorised to act on his behalf and approved by the Registrar) Application is hereby made by (a) ..................................................................................................................................... ....................................................................................................................................... ....................................................... ....................................................................................................................................... ...................................................... who is (or are) the registered proprietor(s) .................................................................................. of trade mark(s) No.(s) ....................................................................................................................................... ...................................................... *registered in Class.......................................in (b)......................................that (c)............................................ respect of ....................................................................................................................................... ...................................................... of (d) ....................................................................................................................................... ............................................. ...................................................................................................................................... ...................................................... trading as(e)............................................................................................................................... ..........................................

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