IPIN/I/KENff/1 Page 128 (Subsidiary] FEE Form T~1 49 1st Sch., items Sb, 6c ApPLICATION BY THE REGISTERED PROPRIE10R OF A TRADE l\1ARK FOR VARIATION OF THE REGISTRATIO~ OF A REGISTERED USER THEREOF WITH REGARD TO THE GOODS OR THE CONDITIONS OR RESTRICTIONS (Section 3 J (8) (a) and Rule "J7) (To be accompanied by a Statement of the Grounds for the application and the written consent (if given) of the Registered Usrr) (a) Here insert (he full name, description and trade or business address of the registered pro­ prietor. Application is hereby made by (a) .,.,.", .. ,."., •....... ,', (h> Additional numbers may be given in a signed schedule on the hack of the form, the proprietor of Trade Mark[s] No.[s] (b) ............•.....•....• registered in Class (c) Here insert the specifications in the Register. .................................. (d) Here insert the full name. description and trade or business address of the registered user. in respect of (c) •.••. :.4 ' . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . . that the registration of (d) .. , , , ...•.............. as a registered user of the above-numbered Trade Mark[s] in respect (e) Here insert the goods in respect of which the user is reg­ istered. of (e) ••....•.......••.... , .....•...•••••••••.•••••• ~ •••••..•. (f) Here state in terms the manner in which il is requested that the entry should be varied. may be varied in the following manner: (f) .. , .. , •...•.•.•.•.•.•. day of ................• 19 ..•. 0:1 'cd this (g) .... , .....•.•.•..•...••...•••••••••..••• (g) Signature. To: The Registrar of Trade Marks. P.O. Box 30031, Nairobi. 82 of 86

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