IPlNlllKENffll Page 100 [Subsidiary] I--fu/ S~~I FormTM 18 f_ ApPLICATION TO THE REGISTRAR l:~DER SEC nON AND (AN) OTHER REGISTERED TRADE (To be 'accompanied by a Statement IN 26 (5) A~D RULE 61 ASSOCIAT10~ BET\\'ElN A REGISTERED 'fRADE .~1ARK TO DISSOLVE THE tv! ARK(S) 0/ Case) a Trade Mark No THE MATTER OF . registered in Class . I [We] . the Registered Proprietor[s] of the above-numbered Trade Mark, hereby apply that the association of this Trade M ark with the follow­ ing Trade Mark[s] registered in my [our] name : No registered in Class . No. registered in Class . may be dissolved and the Register amended accordingly. The grounds for this application are set forth in the accompanying Statement of Case. Dated this (a) day of ................• 19 . (a) ..................••......•............. Signature. To: The Registrar of Trade M arks. P.O. Box 30031, Nairobi. FEE Sb. 10 Form TM 19 REQUEST FOR CORRECTION OF CL ERICAL ERROR; OR FOR PERMISSION '10 AMEND ApPLICATION (a) Here insert words and refer­ ence n u m b e r identifying the entry or applica­ tion. IN THE MAlTER OF (a) ......••....•••••••••••••••••••••••••• ~ . I ['We], being the hereby request that . .................................................................................................... .. .. . .. .. .. .. ...... .. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. . .. ... . . .. . .. . .. .. . . .. .. .. .. . .. .. . .. .. .. .. .. .. . . .. .. . .. . . .. . .. . .. . .. .... .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. II .. . .. .. .. .. . .. .. .. .. . . .. .. .. . .. .. .. . . .. .. . . . .. .. .. .. .. .. .. . .. • .. .. .. "" .. • .. .. • • • • • .. " .. " """ .. """ .. " .. " .. " " " " " " .. " . " .. " " " " .; .. " .. """ " " " " " " " " " " " Dated this (b) Signature. .. (b) To: The Registrar of Trade Marks, " " " .. e- " " . " day of , 19 . . . . P.O. Box 30031, Nairobi. 54 of 86