117 TRADE MARKS REGULATIONS, 1970 (L.I. 667) Registrar-General's Department, P.O. Box 118, Accra. _______________ (a) Here insert the full name, description and trade or business address of the applicant or of the applicants. (b) Strike out the words that are not applicable. *Additional numbers may be given in a signed schedule on the back of the form. (c) Here insert the specification in the Register. (d) Here insert the full name, description and trade or business address of the registered user whose entry is sought to be cancelled. (e) Here insert goods in respect of which that registered user is entered. (f) Signature(s). Form TM—No. 51 TRADE MARKS REGULATIONS, 1970 Fee: N ¢ 5.00 For every other mark N ¢ 1.00 APPLICATION FOR CANCELLATION OF ENTRY OF A REGISTERED USER OF A TRADE MARK (Section 28 (10), paragraph; Regulation 51 (3)) (To be accompanied by a statement of the grounds for the application) IN THE MATTER OF Trade Mark(s) *......................................................................... No.(s) .....................................