IP/NI1IKENffl 1 Page 87 [Subsidiary] Form T~1 _I FEB 2 Sh.60 ApPLlCATIO~ FOR R.EGISTRATION OF TRADE MARK IN PART. OF THE REGISTER • Write distinctly here "A" or "8" according to the registration de­ sired.. One representation to be fixed within this space and four others to he sent on separate Forms TM 3. Representations of a large size may be folded, but must then be mounted upon linen or other suitable mate­ rial and affixed hereto. Application is hereby made for Registration in Part" of the Register of the accompanying Trade Mark in Class (a) Here specify the in respect of (a) ......................................••.. goods. Only goods in­ cluded in one and the same class should be specified. A separate application form is req uiredfor each class. • ••• 0 . (b) Here insert legibly in the name of (b) .........•.....................••••.••.. the full name, descrip­ tion and nationality of the individual, firm or body corporate making the application. The names of all partners in a firm must be given in full. If the applicant is a body corporate the kind and country of incorporation should be "stated, (c) Here insert the whose trade or business address is (c) ..........•..•••.••• • • •• Cull trade or business address of the applicant. . ••••••••.•..•••....••••••••••••.••. "•••• _ •••••••••••••••••• 41 of 86

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