114 TRADE MARKS REGULATIONS, 1970 (L.I. 667) ...................................................................................................................................... ...................................................... ....................................................................................................................................... ...................................................... the proprietor of trade .............................................................................. * mark(s) registered in Class ...................................................... (b)............................................................................... in No(s) respect of ....................................................................................................................................... ...................................................... that the registration of (c)................................................................................................................................... ................ ....................................................................................................................................... ...................................................... ....................................................................................................................................... ..................................................... as a registered user of the above-numbered trade mark(s) in respect of (d)........................................................................ ....................................................................................................................................... ...................................................... may be varied in the following manner: (e)......................................................................................................................... ...................................................................................................................................... ...................................................... Dated the .................................. day of .......................................................................................... (Signature) ................................................................ To The Registrar of Trade Marks, Registrar-General's Department, P.O. Box 118, ..........................., 19

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