IP/NIl/KENffll Page 130 [Subsidiary] FEE Form TM 51 1st Sch., items 6/, 6g ApPLICATION FOR CANCELLATION OF ENTRY OF A REGISTERED USER OF A T~ADE MARK (Section 31 (8) (c) and Rule 99) (To be accompanied by a Statement (a) Additional numbers may be g i v e n on. a signed schedule on ,the back of this form. (b) Here insert the name, trade or business ad­ dress and des­ cription of the registered pro p rietor as en tered in the Register. (e) Here insert the name and address of the for applicant cancellation. (d) Here insert the name, trade or business ad­ dress and des­ cription of the registered user as entered in the Register. (e) Here insert the goods in respect of which the registered user is entered. (j) Here .iasert one or more of the sub « para­ graphs of para­ graph (e) of section 31 (8) numbered (i), (ii), (iii). Grounds for the application) IN THE MATTER OF Trade Mark[s] No.[s] registered in Class · (a) in the name of (b) •............. . -- " Application is hereby made by (c) ......•.....•.••. . •••••.. • • • • • • • • • • • • • • • • • • • • • • • • • • • • ·0" • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • , whose address for service in Kenya in these proceedings is · . , ~ for the cancellation of the entry under the above-mentioned registra­ tionjs] of (d) ................................•••.•.•.••.••••.•• · . as the registered user thereof in respect of (e) •.....•.•.•••••..... · • . " ••••• It •••••••••••••••••••••••••••••••• '" ••••••••••••••••••••• The grounds of this application, particulars of which are given in detail in the accompanying statement of case, are (f) . · . '" • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • e- _ • • day of .........•..•... , 19 Dated this (g) Signature. 0/ the . (g) ••••.••...••......••..•..••.••••....•... To: The Registrar of Trade Marks, P.O. Box 30031, Nairobi. 84 of 86