(1) …………………………………………….. Declared at ……………………. …………..…………… , 200…… this ……………….….. day of affidavit/ solemn declaration. (2) Signature and title of authority before whom the affidavit/solemn declaration is made. Before me (2)……………………………………………. ……………………………………………. The Registrar The Trade Marks Office, P.O. Box 100 BLANTYRE LAWS OF MALAWI Trade marks Trade Marks Regulations Cap. 49:01 (Subsidiary) MALAWI Form TM. No. 19 Section 39. Regulations 81, 85 and 102. TRADE MARKS ACT (CAP. 49:01) Fee: 13 or nil. Request for Alteration of Trade or Business Address or Address for Service in Register of Trade Marks. IN THE MATTER OF the trade mark(s) No. ………………………………………. *registered in Class …………………………… I/We, ………………………………………………………………………………. of …………………………………………………………………………………………… being the registered (1) proprietor(s)/user(s) of the trade mark(s) numbered as above, request that my/our trade address in the register of trade marks be altered to ………………………………………………………………………………………. …………………………………………………………………………………………. Dated this ……………………….. day of ………………………………….. 200……… (2) …………………………………………….. *Additional numbers may be given in a signed schedule on the back of the form. (1) Strike out one of these words. Signature.