IPIN/lINGA/T/2
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TRADE MARKS ACT
(FEE STAMP-ITEM 18)
Request by Registered Proprietor of a Trade Mark that a Disclaimer or
Memorandum relating thereto may be registered (Regula/ion 86)
FORM
Request is hereby made by (a)
.
........................................................................................ .
of
.
for the addition to the entry in the Register in connection with Trade Mark
No
in Class
.
of the following
namely
.
........................................................................................ .
DATED this
........... day of
(b)
19
.
.
To:
The Registrar of Trade Marks,
Federal Ministry of Trade and Tourism,
Abuja, Nigeria.
(a) Here insert the name, trade or business address and description of
the Registered Proprietor.
(h) Signature.
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