IP IN/ llKENff/1 Page 119 [Subsidiary] FEE Form TM 40 1st Scb., item 8a ApPLICATION FOR THE ApPROVAL BY THE REGISTRAR UNDER SECTION 25 (6) AND RULE 79. OF A PROPOSED ASSIGNMENT, OR OF A TRANS­ MISSION. (oN OR AFTER THE APPOINTED ·DAY), OF A TRADE MARK RESULTING IN - EXCLUSIVE RIGHTS IN DIFFERENT PERSONS FOR DIFFERENT PARTS OF KENYA (To be accompanied by a Statement of Case in duplicate and a Copy of the Instrument proposed for the Assignment or effecting the . Transmission) IN THE MATTER OF [a] Trade Mark[s] • Registered underr No.js] . in Class[es] the property of ~ _ -To be struck out in the case of unregistered trade marks. tStrike out either paragraph (1) or paragraph . (2). Application is hereby made by: t (1) (a) ................................•.•.•...........•• of ..................................................•...... '. (a) Insert here the name and trade or busines, address of the proprietor. the Proprietor of the Trade Mark[s] shown in the accompanying Statement of Case (b) [registered in his name] [and used by him] ir­ respect of the following goods . (b) Strike out either if not ap­ plicable. for approval by the Registrar of a proposed assignment of the Trade Mark[s] to (c) ..............•.•....•..•.•.•..••.•••.•.•••••••••• · . of ~ . in res pert of the following goods to be sold or otherwise traded in in (d) · of .. , ~ (d) Insert tbe name of the place in Kenya. [and to (c) • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • , • • c. • • • • • • • • • • • (c) Insert here the names and trade or business addresses of the proposed assign­ ee or assignees. -I • • • • • • • . in respect of the following goods ...•......-.....•••........•..... 73 of 86

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