IP/NIl/KENffll Page 127 (Subsidiary] FEE Form TM 48 1st Sch., items 6, 6a ApPLICATION FOR REGISTRATION OF REGISTERED USER (To be accompanied by a Statement of Case giving particulars and stating as required by section 31 (4), verified by a Statutory Declaration made by the Proprietor, or by some person authorized to act on his behalf and approved by the Registrar) Application is hereby made by (a) • .................. • • • • • • • • • • • • • • • ill ••• . • 0 • • • • • • • • • • • • • • • • • • • • • • • • • ,0• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • who is [are] the registered proprietor[s] of Trade Mark[s] No.[s] · • . . • . • • . . • . .. (b) registered in Class in respect of (c) ..........•............. that (d) . · . of (e) ....•.•.••..........•.......•.....................•..... · . . . . . . . . . . . . . . . . . . . . . .. trading as (f) . · , who hereby joins in the application, may be registered as a registered user of the above-numbered registered Trade Mark[s] in respect of (g) subject to the following conditions or restrictions: (h) . ............................................................... (I) The proposed permitted use is to end on the .............• day of , 19 . The proposed permitted use .is without limit of period. 01 . To: The Registrar of Trade Marks, P.O. Box 30031, Nairobi. Note.-A request for the entry of an address for service of the registered user may be made free in form TM 32, if it accompanies this form. (a) Here insert full name, trade or business ad­ dress and des­ cription of the registered pro­ prietor(s). (b) Additional numbers may be given in a signed schedule on the back of the form. (e) Here insert the specification in the Register. (d) Here insert the full name, description and nationality of the individual, firm or body corporate pro­ posed as regis­ tered user. The names of all partners in a firm must be given in full. In the case of a body corporate brief particulars of the kind and country of in­ cor p 0 ration should be stated. (e) Here insert the full trade or business address of the proposed registered user. (f) Here insert trading style, if any. (g) Here insert designation of goods (which must be com­ prised within the specification). (h) W r i t e "none" if there are no condi­ tions or restric­ tions. (i) Strike out the words that are not applic­ able. U) Signature. 81 of 86

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