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Page 109
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Form Tfvf 29
[Subsidiary 1
1st Sch., item
Sa
ApPLICATION
GRAPH
FOR
1 OF
THE
ApPROVAL
BY
THE
REGISTRAR
UNDER
PARA
79
THE THIRD SCHEDULE TO THE ORDINANCE AND RULE
OF AN ASSIGNMENT OR TRANSMISSION OF A REGISl ERED TRADE
MARK. BEFORE THE ApPOINTED DAY, RESuLTING IN EXCLUSIVE
RIGHTS IN DIFFEREt-:T PERSONS FOR DIFFERENT PARTS OF KENYA
(To be accompanied by a Statement of Case in duplicate and a Copy
of the Instrument effecting the Assignment or Transmission)
IN
THE MATTER OF
Trade Mark[s] No.[s]
.
registered in the nam~ of
in Class
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•
000
•
Application is hereby made by (a)
of
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who claims that the above-numbered registered Trade Mark[s] was
(c) assigned [transmitted] to him [to (d) .
of
, 19
day of
[were] on the (h)
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.
••••••••••••••••••••••
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ta) Insert here
the name and
trade or business
address of the
transferee
who
claims.
(b) Insert here
the date which
m us t
precede
the
appointed
day.
•
(c) Strike
out
the words that
are not applic
able.
.
0
•••••••••••
0
••••••••••••••••••••••••••••••••••••••••••••••
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who was his predecessor in title,] in respect of the following goods,
namely
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by or from (e)
••••••••••••••••••
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0
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0
of
.
who was the registered proprietor of the said Trade M ark, in circum
stances that arc stated fully in the accompanying Statement of Case,
for the approval by the Registrar of the aforesaid (c) assignment
(d) Insert here
the name' and
trade or busi
ness address of
the predecessor
in title, if any.
(e) Insert here
the name and
trade or 'busi
ness address of
the
registered
proprietor who
ass r.s ned or
transmitted.
[transmission].
Dated this
o.
0
•••••••••••
0
0
day of ...
0
•••••••••••• ,
19.
(f) ..•.......................••..•....
0
0
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•
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(J) Signature.
To: The Registrar of Trade Marks,
P.O. Box 30031,
Nairobi.
63 of 86
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