77 TRADE MARKS REGULATIONS, 1970 (L.I. 667) (full names) of ....................................................................................................................................... .................................................. (address) hereby request the Registrar to advise me (or us) whether the trade mark shown on the accompanying footscap sheet* appears to him prima facie to be inherently adapted to distinguish or inherently capable of distinguishing my (or our) goods so as to comply with the requirements of section 9 or section 10, respectively, of the Act for registrability in Part A or Part B of the Register. The goods in respect of which I (or We) propose to apply for registration of the said trade mark are (a) ........................................................................................................................ ....................................................................................................................................... ...................................................... ......................................................................................................... ............................................................... in Class (b) Dated this .......................................................... day of ............................. 19 .................................................. (address) ....................................................................................................... To The Registrar of Trade-Marks, Registrar-General's Department, P.O. Box 118, Accra. _______________ *To be sent in duplicate. (a) Here specify the goods. Only goods included ii) one and the same class shouldbe specified. A separate form of request is required for each class. (b) Here insert the number of the class (if known). in case of doubt the Registrar's direction may be obtained.