IP/NIl/NGA/T/2 Page 94 FORM 47 TRADE MARKS ACT (FEE STAMP-ITEM 6 or 6a) Application for Registration of Registered User (To be accompanied by a Statement of Case giving particulars and slating as required by section 34(1) verified by a statutory declaration made by lire Proprietor. or hy some person authorised 10 act 011 his behalf and approved by the Registrar) (Regulation 96) Application is hereby made by (0) . who is (or are) the registered proprietorrs) of Trade Mark(s) No.(s) ..... ........... "registered in Class in respect of (h) that (c) . ........................................, of (d) . trading as (z-) .. who hereby join in the application. may be registered as a registered user of the above-numbered registered trade mark(s) in respect of en . ........................................................................................ . subject to the following conditions or restrictions: (g) . (h) The proposea perrnuted use day of , 19 use is without limit of period. DATED this IS to end on the .. The proposed permitted day of (i) 19 . . To: The Registrar of Trade Marks, Federal Ministry of Trade and Tourism, Abuja, Nigeria. "Additional numbers may be given in a signed Schedule on the back of the Form. (a) Here insert full name, trade or business address and description of the registered proprietor(s). (h) Here insert the specification in the Register. (c) Here insert the full name, description and nationality of the individual, firm or body corporate, proposed as registered user. The names of all partners in a firm must be given in full. In the case of a body corporate, brief particulars of the kind and country of incorporation should be stated. (d) Here insert the full trade or business address of the proposed registered user. (e) Here insert the trading style, if any. (/) Here insert designation of goods (which must be comprised within the specification). (g) Write None if there are no conditions or restrictions. (h) Strike out words that are not applicable. (i) Signature.

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