Dated this ........................ day of ........................ 20........ lxvii 8 ...... To: T FORM TM/SM 14 DECLARATION (ONLY TO BE FURNISHED WHEN REQUESTED BY THE REGISTRAR) IN SUPPORT OF STATEMENT OF CASE ACCOMPANYING FORM TM/SM 12 OR TM/SM 13 TANZANIA THE TRADE AND SERVICE MARKS ACT (CAP. 326) (Section 43 and Regulation 60) I, ............................................................................................................................. of ................................................................................................................................. do solemnly and sincerely declare as follows: The particulars set out in the Statement of Case, exhibit marked .................................. ........................ and left by me in connection with my request to be registered as subsequent proprietor of the Mark No. ............................................ in Class ..................................... are true and comprise every material fact and document affecting the present proprietorship of the Mark. I make this declaration conscientiously believing the same to be true and by virtue of the Judicial Proceedings and Statutory Declarations Act, 1966. lxviii 1 ............................................................................................................................. Declaration at .............................................................................................................. This ........................ day of ........................ 20........ Before me lxix 2 ................................................................................................................. .................................................................................................................................... .................................................................................................................................... To: The Registrar of Trade / Service Marks, Dar es Salaam, Tanzania. FORM TM/SM 15 REQUEST FOR ALTERATION OF TRADE OF BUSINESS ADDRESS IN REGISTER OF MARKS TANZANIA THE TRADE AND SERVICE MARKS ACT (CAP. 326) (Regulations 65 and 82) FEE SHS. 20,000/= IN THE MATTER OF the Mark(s) No. ........................................... lxx 1 registered in Class ........................................... I (or We) ................................................................................................................... of ................................................................................................................................. the Registered Proprietor(s) } lxxi 2 of the Mark(s) numbered as above, User(s) } request that my (or our) lxxii 2 trade address in the Register of Mark(s) be altered to ................... .................................................................................................................................... Dated this ........................ day of ........................ 20........ Note: