41 TRADE MARKS REGULATIONS, 1970 (L.I. 667) Representations of a large size may be folded, but must then be mounted upon linen or other suitable material and affixed hereto. Application is hereby made for Registration in Part * of the Register of the accompanying Trade Mark in Class........... ............................................................ in respect ..................................................................................................... of (a) ....................................................................................................................................... ...................................................... ....................................................................................................................................... ..................................................... ....................................................................................................................................... ...................................................... in the name of (b) ....................................................................................................................................... ....................... whose trade or business address is .............................................................................................................................. (c) ....................................................................................................................................... ..................................................... trading as (d) ....................................................................................................................................... ................................ by whom it is (e) proposed to be used and who claim(s) to be the proprietor(s) thereof. (f) ....................................................................................................................................... .............................................. Dated the ................................................ 19........................................ (Signature)............................................................ To The Registrar of Trade Marks, Registrar-General's Department. day of ...................................