of xcii 1 ............................................................................................................................. or by ........................................................................................................... a member of the Firm of ............................................................................................................... ................................................... of xciii 2 ......................................................................... on behalf of my said Firm) ............................................................................................ ................................................................................................................................... for the striking out of xciv 3 .................................................................................................. from the goods/services for which the Mark No. ........................................ is registered in Class ...................................... Dated this ........................ day of ........................ 20........ xcv 4 ......................................................................... To: The Registrar of Trade / Service Marks, Dar es Salaam, Tanzania. Note: Regulation 69 requires that an application on Form TM/SM 20 shall be signed by the Registered Proprietor of the Mark, or other person entitled under that Regulation, unless in exceptional circumstances the Registrar otherwise allows. FORM TM/SM 21 REQUEST BY REGISTERED PROPRIETOR OF A MARK THAT A DISCLAIMER OR MEMORANDUM RELATING THERETO MAY BE REGISTERED TANZANIA THE TRADE AND SERVICE MARKS ACT (CAP. 326) (Section 39(1)(e) and Regulation 69) FEE SHS. 10,000/= Request is hereby made xcvi 1 ........................................................................................ ........................................................ of ....................................................................... .................................................................................................................................... for the addition to the entry in the Register in connection with a Mark No. .......................... in Class .............................. of the following ................................................................. namely: ....................................................................................................................... .................................................................................................................................... Dated this ........................ day of ........................ 20........ xcvii 2 ......... To: The Registrar of Trade / Service Marks, Dar es Salaam, Tanzania. FORM TM/SM 22 APPLICATION BY REGISTERED PROPRIETOR FOR AND ADDITION TO OR ALTERATION OF A REGISTERED TRADE MARK TANZANIA THE TRADE AND SERVICE MARKS ACT (CAP. 326) (Section 39(1) and Regulations 69 and 70) FEE SHS. 15,000/= IN THE MATTER OF a Mark No. .................................................................. in Class ............................................................... Application is hereby made by xcviii 1 ................................................................................. ....................................................................................................................................

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