39 TRADE MARKS REGULATIONS, 1970 (L.I. 667) Dated of.....................................................19................... this.........................................day (d) ........................................................................................................................... Address (e) ....................................................................................................................................... ................................. ....................................................................................................................................... ..................................................... ___________________________________________________________________ (To be struck out if the person appointing the agent desires his own address to be treated as the address for service after registration.) I (or We) also authorise the said (a).................................................................................................................................. ....................................................................................................................................... ................................................... ....................................................................................................................................... ................................................... ....................................................................................................................................... ..................................................... to complete Form TM-No. 31 requesting the entry of an address for service as part of any registration obtained under the above authorisation. Dated this ................................................... day of ................................................. 19................................................ (d) ........................................................................................................ Address(e) ....................................................................................................................................... .................................. .................... ....................................................................................................................................... ............................... __________________________________________ To The Registrar of Trade Marks, Registrar-General's Department,