IPINIIINGA/T/2 Page 69 22 TRADE MARKS ACT (FEE STAMP-ITEM 10 or lOa) Request to enter change 0/ Name or Description 0/ Registered Proprietor (or Registered User) 0/ Trade Mark upon the Register (Regulations 86 and 102) FORM I, (or We), (a) . hereby request that (b) name(s) and description(s) may be entered in the Register of Trade Marks as proprietor(s)jregistered .. user(s) of the Trade Mark(s) No . . . . . . . . . . . . . . . . . . . .. *registered in Class . the said Trade Mark (d) entitled to (c) use the said Trade Mark as registered { user(s). actual proprietorship There has been no change in the (c) identity of the registered { user(s). of the said trade Mark, but (e) .. The entry at present standing in the Register gives my (or our) name(s) and description(s) all as follows . DATED this ........... dayof (j') 19 . . To: The Registrar of Trade Marks, Federal Ministry of Trade and Tourism, Abuja, Nigeria. (a) Here insert the present name, address, and description of Registered Proprietor or Registered User. (b) My or our. (c) Strike out the words that are not applicable. (d) I am or We are. (e) Here state the circumstances under which the change of name took place. (/) Signature. *Additional numbers may be given on a signed Schedule on the back of the Form.