IPINlllKENffII Page 89 [Subsidiary] FEE Form TM 4 Sh.60 REQUEST FOR STATEMENT OF GROU~DS OF DECISIO~ IN THE MAITER OF (a) '. The Registrar is hereby requested to state in writing the grounds of his decision, dated the ". . , day of ,., and the materials used by him in arriving at the decision. Dated this , , .. day of , 19 , 19 , 0, , •• , • • • • • " (b) , .. , . , .. , , . (a) Here insert words and num­ ber identifying the matter or proceeding. ( h) Signature, To: The Registrar of Trade Marks, P.O. Box 30031, Nairobi. If the Registrar has made any requirement to which the Applicant does not object, the Applicant shall comply therewith before the Registrar issues the ground of his decision. (Sec rule 34.) FEE Form TM 5 1st Sch., Items 1c., 1d. ApPLICATIO:--.l FOR REGISTRATION OF CERTIFICATION TRADE MARK (Section 40) (To be filed in triplicate) One represent­ ation to be fixed within this space and six others to be sent on forms separate TM 3. Representations of a larger size may be folded. but must then be mounted upon linen or o the r suitable material and af· fixed hereto. 43 of 86