115 TRADE MARKS REGULATIONS, 1970 (L.I. 667) Accra. _________________ *Additional numbers may be given in a signed Schedule on the back of the form. (a) Here insert the full name, description and trade or business address of the registered proprietor (b) Here insert the specification in the Register. (c) Here insert the full name, description and trade or business address of the registered user. (d) Here insert the goods in respect of which the user is registered. (e) Here state in terms the Manner in which it is requested that entry should be varied. Form TM—No. 50 TRADE MARKS REGULATIONS, 1970 Fee: N ¢ 5.00 For every other mark N ¢ 1.00. APPLICATION BY THE REGISTERED PROPRIETOR OF A TRADE MARK OR BY ANY OF THE REGISTERED USERS OF THE TRADE MARK FOR THE CANCELLATION OF ENTRY OF A REGISTERED USER THEREOF (SECTION 28 (10) PARAGRAPH (b) REGULATION 51 (2)) (To be accompanied by a statement of the grounds for the application) Application is hereby made by (a).................................................................................................................................. ... ....................................................................................................................................... ..................................................... ....................................................................................................................................... .....................................................