74 TRADE MARKS REGULATIONS, 1970 (L.I. 667) of .................................................................................................................................. ..................................................... (address) hereby apply for leave to intervene in the proceedings relating to the rectification or removal of the entry in the Register in respect of the above-mentioned trade mark. My (our) interest in the trade mark is................................................................................................................................ ....................................................................................................................................... .................................................... ....................................................................................................................................... .................................................... ....................................................................................................................................... .................................................... Address for service in Ghana in these proceedings: ....................................................................................................................................... ..................................................... ....................................................................................................................................... ...................................................... Dated this ....................................................... day of .............................................. 19................................................ (Signature) .............................................................. To The Registrar of Trade Marks, Registrar-General's Department, P.O. Box 118, Accra.