112 TRADE MARKS REGULATIONS, 1970 (L.I. 667) ....................................................................................................................................... ....................................................... who hereby joins in the application, may be registered user of the above-numbered registered trade mark(s) in respect of (f) ....................................................................................................................................... ............................................. ....................................................................................................................................... ...................................................... subject to the following conditions or restrictions: (g) ....................................................................................................................................... ................................................. ....................................................................................................................................... ..................................................... ....................................................................................................................................... ..................................................... ....................................................................................................................................... ..................................................... (h) The proposed permitted use is to end on the............................ day of....................... 19............................................ The proposed permitted use is without limit of period. Dated this ........................................... day ..................................................................... of ......................................... (Signature) ............................................................. To The Registrar of Trade Marks Registrar-General's Department, P.O. Box 118, Accra. ____________________ * Additional numbers may be given in a signed schedule on the back of the form. 19

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