IP/NI1IKENITIl Page 105 {Subsidiary] FEE Form TM: 25 Sh.60 ApPLlCATIO~-J 10 THE REGIS I RAJ{ FOR THE RECTIFIC""lION OF llIE REGISTER OR THE REMOVAL OF " TRADE l\1ARK FROM TilE REGIS1ER (To be accompunicd hy a copy and a St atcmcnt 0/ Case in duplicate) IN THE M..\"J 1 ER OF the Trade ~1 ark No . registered in the name of . in Class '.' . I [We] (a) (a) Here full name address. state and 'hereby apply that the entry in the Register in respect of the abovementioned Trade ~t ark may be removed (b) rectified in the following manner : : . The grounds of my [our] application are as follows: . . . . . . .. \ . . '" ; (b) Strike out the word(s) not npplicable. No action concerning the Trade ,\1 ark in question is pending in the Court. Address for service in Kenya in these proceedings ................... " " Dated this "" day of " "" .. "."" .. ".".""" 19 ". . (c) ......................•.•............... (c) Signature To; The Registrar of-Trade Marks. P.O. Box 30031, Nairobi. 59 of 86

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