IP/N/lIKENfT/l Page 86 [Subsidiary] FOURTH SCHEDULE (r. 4) FORMS For stamp duty Schedule to the Stamp Duty Act. Form TM I FORM see OF AUTHORIZATION OF AGENT IN A MAllER OR PROCEEDING UNDER TH!! ACT (Rule 14) • The full name all partners in a firm must be inserted, and the kind and *1 [We] of country of corporation in­ of bodies corporate stated. Ca) Here state name and address of agent. (b) Here state the particular matter or pro­ c e e din g for which the agent is appointed giv­ ing 'the refer­ ence number if known. (c) Here state nationality. have appointed (aJ . of . to act as my [our] agent for (b) . ............................................ No . and request that all notices, requisitions and communications relating thereto may be sent to such agent at the above address. I [We] hereby revoke all previous authorizations, if any, in respect of the same matter or proceeding. I [We] hereby declare that I am [we are] a (c) Dated this To be by the person appoint­ ing the agent. (e-) I·lere insert [he full trade or business address of the person appointing the agent. (d) signed day of . ,·19 . (d) . Address (e) ............................................•.•. (To be struck out if the person appointing the agent desires his own address to be treated as the address for service after registratlon.) I [\Ve] also authorize the said (a) . .................... to complete form TM 32 requesting the entry of an address for service QS part of any registration obtained under the above authorization. Dated this (d) day of , 19 . " Address (e) •........•......•.......•.........•...•...•.•... To: The Registrar of Trade Marks, P.O. Box 30031, Nairobi. 40 of 86

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