I (or We) ...................................................................................................................... of ................................................................................................................................ Hereby request the Registrar to furnish me (us) with cxii 3 his Certificate that: cxiii 4 ................................................................................................................................. ................................................................................................................................... ................................................................................................................................... cxiv 5 a Certificate of registration of the Mark cxv 6 for in obtaining registration abroad. Dated this ........................ day of ........................ 20........ cxvi 7 .................... cxvii 8 .................... To: The Dar Tan Reg ulation 92: Where a certificate of registration of a mark is issued for use in registration abroad, the Registrar shall include in the certificate a copy of the mark and may require the applicant for the certificate to furnish him with a copy of the mark suitable for the purpose, and if the applicant fails to do so, may refuse to issue the certificate. The Registra may state in the certificate such particulars concerning the registration of the mark as to him seem fit, and may omit therefrom reference to any disclaimers appearing in the register; but in the last-mentioned case the certificate shall be marked; "For use in obtaining registration FORM TM/SM 27 FORM OF REQUEST TO THE REGISTRAR BY A REGISTERED PROPRIETOR OF A REGISTERED USER OF A MARK, OR A PERSON ABOUT TO BE REGISTERED, TO ENTER, ALTER OR SUBSTITUTE AN ADDRESS FOR SERVICE AS PART OF HIS REGISTRATION TANZANIA THE TRADE AND SERVICE MARKS ACT (CAP. 326) (Regulations 10, 66 and 82) FEE SHS. 10,000/= cxviii * Request is made by cxix 1 .................................................................................................. ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... ................................................................................................................................... Who is about to be registered as (or who is the Registered) cxx 2 Proprietor (User) of Mark(s) No. ......................................... cxxi 3 registered in Class........................for the inclusion, addition, alteration or substitution cxxii 4 of an address for service in Tanzania in or to the entry thereof so that the address for service may read: cxxiii 5 .............................................................................................................................. Dated this ........................ day of ........................ 20........ cxxiv 6 ...... To: The Dar