……………………………………………….. The statement on the back of this form must be filled in and signed. The Registrar The Trade Marks Office, P.O. Box 100 BLANTYRE *This form will be returned if it is filed more than six months before the expiration of the last registration. (To appear on the back of the form) (3) Signature and address of the person leaving the fee. (4) If the request is signed by the registered proprietor strike out here the words “the registered proprietor” and substitute the word “me”. (5) Signature. The Registrar is requested to send notice of renewal of the registration to (4) the registered proprietor at the following address:………………………………………………. ……………………………………………….. (5)……………………………………………….. Dated this ……………….….. day of …………..…………… , 200…… LAWS OF MALAWI Trade marks Trade Marks Regulations Cap. 49:01 (Subsidiary) MALAWI Form TM. No. 13. Section 25. Regulation 67. TRADE MARKS ACT (CAP. 49:01) Fee: £1. Additional fee of £1 to accompany Renewal Fee (form TM. No. 12) within one month after advertisement of Non-payment of Renewal Fee. (To accompany form TM. No. 12) In pursuance of the notices issued by the Registrar, I/We hereby transmit the additional fee of £1 (along with form TM. No. 12) for the renewal of the registration of the trade mark No. …………………………….. in Class ……………………………………….. Dated this ……………….….. day of …………..…………… , 200…… Signature. (1)………………………………………………….. ………………………………………………….. Address.