IP/N/1IKENfTll Page 102 rSubsidiary J FEE Form TM 2] She 10 ~PPLTCATION BY REGISTERED PROPRIETOR OF TRADE MARK FOR THE CANCELLATION OF ENTRY THEREOF IN REGISTER (Paragraph (c) of section 37 (1) and rules 85 and 86) ~N THE MATTER OF Trade Mark No . Class . Name of Registered Proprietor . Trade or business address . Description Application is hereby made by (a) the Here insert trade or business address and description of the appli­ cantts) or his (their) firm. . of (a) ...•.••.....................•.................•... [or ·by · . . . . . . . . . . . . . . . .. a member of the Firm of . · . . . . . . . . . . . . . . . . . . . . . . . . . .. of (a) ............•..........•.... on behalf of my said Firm] , . · . ~ that the entry in the Register of Trade Marks of the Trade Mark in Class No. ' . may be cancelled. Dated this .(b) Signature. day of (b) , 19 . . To: The Registrar of Trade Marks. P.O. Box 3003l. Nairobi. Note.-:-Rule 85 requires that an application in form TM 21 shall be signed by the Registered Proprietor of the Trade Mark, or other person entitled under that rule, unless in exceptional circumstances the Registrar otherwise allows. 56 of 86