Rev. 2009] Trade Marks CAP. 506 I, the person described above, request that I be registered as the proprietor of the trade mark described above. 109 [Subsidiary] Particulars of instrument of assignment or transmission or statement of case: ………………………………………………………………………………… ………………………………………………………………………………… (If an instrument is described above, a copy of it shall accompany the application.) (If the trade mark is assigned, the following questions must be answered.) 1. At the time of the assignment, was the trade mark used in a business in the goods or services to which the trade mark relates? yes no 2. Was the assignment made otherwise than in connection with the goodwill of the business described in item 1 above: yes no (If the answer to both of questions 1 and 2 above is yes, the applicant is required to leave the copy and proof required under rule 76 (1).) Date: …………………………….... Signature: ………………………… Signature of current registered proprietor (optional): ……………………….. To: The Registrar of Trade Marks. FORM TM 15 - (Deleted by L.N. 146/2003, s.65(h)). FORM TM 16 - (Deleted by L.N. 146/2003, s.65(h)). L.N. 146/2003. FORM TM 17 Request To Alter Trade Or Business Address In Register (rules 81 (1), 85 (2), 101 (1)) In the matter of Trade Mark No. ……………………………………............... Name and address of person making the request: ………………………………………………………………………………… …………………………………………………………………………………