IP/N/l/KENffll Page 118 [Subsidiary] FEE 1st Sch., item 8 Form TM 39 ApPLICATION FOR THE CERTIFICATE OF THE REGISTRAR UNDER SECTION 25 (5) AND RULE 79 WITH REFERENCE TO A PROPOSED ASSIGNMENT OF A REGISTERED TRADE MARK . (To be accompanied by a Statement of Case in duplicate and a copy of the proposed assignment) IN THE MATTER OF Trade Marks[s] No.[s] ..........•....•..... · . . . . . . . . . . • . . . . . . .. registered in the name of · . , in -Classjes] o ••••• · (a) Here insert the name and trade or business address of the registered pro­ prietor.• _~ : ••. -- . '" Application is hereby made by (a) ......................•••••• of .. 0 ••••••••••••• 0 ••••••••••••••••• 0 0 • 0 0 ••••••• 0 0 • being the Registered Proprietor[s] of the above-numbered registered Trade Mark[s], for the Registrar's Certificate under section 25 (5) with reference to a proposed assignment of the registered Trade Ms'rkjs] (b) Here insert the name and trade or business address of the proposed assign­ ee. No.[s] of to (b) 0 •••••••••••••••••••• 0 •• 0 • 0 ••• 0 0 •••••••••••• 0 0 •••••••• 0 0 • in circumstances that are stated fully in the accompanying Statement of Case. Dated this (e) day of (c) Signature. 00 ••••••••• 00. 0 OJ 19 •... . To: The Registrar of Trade Marks, P.O. Box 30031, Nairobi. 72 of 86