SHS. 15,000/= IN THE MATTER OF lxxviii 1 .............................................................................................. I (or We), being the ...................................................................................................... hereby request that ...................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... Dated this ........................ day of ........................ 20........ lxxix 2 ......... To: FORM TM/SM 18 REQUEST TO ENTER CHANGE OF NAME OR DESCRIPTION OF REGISTERED PROPRIETOR (OR REGISTERED USER) OF A MARK UPON THE REGISTER TANZANIA THE TRADE AND SERVICE MARKS ACT (CAP. 326) (Section 39(1) and Regulation 69 and 82) FEE SHS. 20,000/= I (or We), lxxx 1 .............................................................................................................. ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... hereby request that lxxxi 2 ............................... name and description(s) may be entered in the Register of Marks as lxxxii 3{ { proprietor(s) of the Marks No. ...................... { registered user(s) lxxxiii 4 registered in Class .................................................................................................................................... lxxxiv 5 .............................................. entitled to { the said Mark lxxxv 6 { use the said Mark as registered user(s) There has been no change in the { actual proprietorship lxxxvi 7 { identity of the registered user(s) of the said Mark, but lxxxvii 8 ................................................................................................. .................................................................................................................................. The entry at present standing in the Register given my (our) name(s) and description(s) all as follows: ................................................................................................................................... ................................................................................................................................... Dated this ........................ day of ........................ 20........ lxxxviii 9 ........... To: The Registrar of Trade / Service Marks, Dar es Salaam,

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