LAWS OF MALAWI Trade marks Trade Marks Regulations Cap. 49:01 (Subsidiary) MALAWI Form TM. No. 52 Section 33(8)(b). Regulation 99. TRADE MARKS ACT (CAP. 49:01) Fee: 6(d) or 6(e). Application by the Registered Proprietor of a Trade Mark or by any of the Registered Users of the Trade Mark for the cancellation of entry of a Registered User thereof. (To be accompanied by a statement of the grounds for the application.) Application is hereby made by (1) ……………………………………………………… …………………………………………………………………………………………… ………………………………………………………………………………………….. being (2) the registered proprietor/registered user of trade mark(s) No.(s)*……………………………………………………… registered in Class ………….. in respect of (3) ……………………………………………………………. …………………………………………………………………………………………… ………………………………………………………………………………………….. for cancellation of the entry under the above-mentioned registration(s) of (4) ………… ………………………………………………………………………………………….. As a registered user of the trade mark(s) in respect of (5) ……………………………. …………………………………………………………………………………………… ………………………………………………………………………………………….. The grounds for this application are s set forth in the accompanying statement. Dated this ……………………….. day of ………………………………….. 200……… (6) …………………………………………….. ……………………………………………… ……………………………………………… ……………………………………………… The Registrar The Trade Marks Office, P.O. Box 100 BLANTYRE (1) Here insert the full name, description and trade or business address of the applicant(s). (2) Strike out words that are not applicable. *Additional numbers may be given in a signed schedule on the back of the form. (3) Here insert the specification in the register. (4) Here insert the full name, description and trade or business address of the registered user whose entry is sought to be cancelled. (5) Here insert goods in respect of which that registered user is entered. (6) Signature(s).