……………………………………………………………………………………….. ……………………………………………………………………………………… circumstances under which the change of name took place. The entry at present standing in the register gives my/our name(s) and description(s) as follows:- ………………………………………………………………………………. Dated this ……………………….. day of ………………………………….. 200……… (4) Signature. (4) …………………………………………….. The Registrar The Trade Marks Office, P.O. Box 100 BLANTYRE LAWS OF MALAWI Trade marks Trade Marks Regulations Cap. 49:01 (Subsidiary) MALAWI Form TM. No. 23 Section 39(1) Regulations 85 and 86 TRADE MARKS ACT (CAP. 49:01) Fee: 10s. Application by Registered Proprietor of Trade Mark for the Cancellation of Entry thereof in Register. IN THE MATTER OF trade mark No. …………………………….………………. Name of registered proprietor ……………………………………………………….. ……………………………………………………………………………………………. Trade or business address ……………………………………………………………….. Description ……………………………………………………………………………… Application is hereby made by …………………………………………………………. of (1) ………………………………………. (or by …………………………………… a member of the firm of ………………………………………………………………….. of (1) ……………………………………………………………………………………. on behalf of my said firm ………………………………………………………………… that the entry in the register of trade marks of the trade mark No …………………… in Class ……………………………………. May be cancelled. (1) Here insert the trade or business address and description of the applicant(s) or his/their firm.