(4) The trade mark at the time of the assignment was (4) not/used in a business in the goods in question, and the assignment (4) took/ did not take place on or after the commencement of the Act otherwise than in connection with the goodwill of a business in the goods, (4) and there is sent herewith a copy of the Registrar’s direction to advertise the assignment. (3) Here insert full particulars of the instrument of assignment or transmission, if any, or statement of case. Dated this ……………….….. day of …………..…………… , 200…… (4) Strike out any words not applicable (See regulations 76). (5) …………………………………………….. (5) Signature. My/Our address for service in Malawi:……………………………………………. ……………………………………………. NOTE: The instrument under which the transferee claims should preferably accompany this form. The Registrar The Trade Marks Office, P.O. Box 100 BLANTYRE LAWS OF MALAWI Trade marks Trade Marks Regulations Cap. 49:01 (Subsidiary) MALAWI Form TM. No. 18 Section 27. Regulation 74. TRADE MARKS ACT (CAP. 49:01) Affidavit/Solemn Declaration (only to be furnished when requested by Registrar) in support of Statement of Case accompanying form TM. No. 16 or No. 17. I, ………………………………………………………………………………………. of …………………………………………………………………………………………… do hereby make *oath and say/solemnly and sincerely declare that the particulars set out in the statement of case, exhibit marked ………………………., and left by me in connection with my request to be registered as subsequent proprietor of the trade mark No. ……………………… in Class ………………………….. are true and comprise every material fact and document affecting the present proprietorship of the trade mark. And I make this affidavit/solemn declaration conscientiously believing the same to be true. (1) To be signed here by the person making the

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