116
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
being (b) the registered proprietor (a registered user) of trade mark(s)
No(s)........................*..........................................
registered
in
Class
.......................................................................................................................................
........................
in
respect
of
(c)
.......................................................................................................................................
.............................
.......................................................................................................................................
......................................................
.......................................................................................................................................
......................................................
for the cancellation of the entry under the above-mentioned registration(s) of
(d).............................................................
.......................................................................................................................................
.....................................................
as a registered user of the trade mark(s) in
...................................................................................................
respect
of
(e)
.......................................................................................................................................
......................................................
.......................................................................................................................................
......................................................
The grounds for this application are set forth in the accompany statement.
Dated this ..............................................day
19........................................................
of
.............................................,
(f)
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...
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........
.......................................................................................................................................
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To The Registrar of Trade Marks,
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