IPIN/IINGA/T/2 Page 61 14 TRADE MARKS ACT (FEE STAMP-ITEM lid) Restoration of Trade Mark removed from Register for Non-payment of Fee (Regulation 70) (To accompany Form 12) FORM In pursuan~e of the Notices issued by the Registrar, I (or we) hereby transmit the additional fee (along with Form 12) for the restoration to the in Register of the trade Mark No. . Class . DATED this day of (a) (b) ,19 .. . . To: The Registrar of Trade Marks, Federal Ministry of Trade and Tourism, Abuja, Nigeria. N.B.-This Form must be signed by the person(s) signing the Form 12. (a) Signature. (b) Address.

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