Rev. 2009] Trade Marks CAP. 506 115 [Subsidiary] Date: ………………………………………... Signature: …………………………………… To: The Registrar of Trade Marks. L.N. 146/2003. FORM TM 25 Application For The Making, Expunging Or Varying Of An Entry In The Register (rules 82 (1), 84 (1)) In the matter of Trade Mark No. ………………………………………....... Name of registered proprietor: …………………………………........ Trade or business address: …………………………….................. Name and address of applicant: ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………… I apply for the making, expunging or varying of an entry in the Register in relation to the trade mark described above in the following manner: ………………………………………………………………………………… ………………………………………………………………………………… …………………..……..……………………………………………………… This application is accompanied by the statement required under rule 82 (1). (If the applicant is not the registered proprietor of the trade mark a copy of this application and the statement required under rule 82 (1) is required under rule 82 (2)) Date: ………………………………….. Signature: ……………………………. To: The Registrar of Trade Marks.