66
TRADE MARKS REGULATIONS, 1970 (L.I. 667)
Fee: N ¢ 2.00
APPLICATION BY REGISTERED PROPRIETOR OF TRADE MARK FOR THE
CANCELLATION OF ENTRY THEREOF IN THE REGISTER
(paragraph (c) of section 34 (1) and regulation 44 (1))
IN
THE
MATTER
OF
Trade
Mark
No.
............................................................................................
.....................Class
Name
of
Registered
Proprietor
.......................................................................................................................................
....
Trade
or
business
address
.......................................................................................................................................
...........
Description
.......................................................................................................................................
.................................
Application
is
hereby
made
by
.......................................................................................................................................
...
of
(a)
.......................................................................
.............................................................................................
(or
by)
a
member
of
the
firm
of ..................................................................................................................................
..................
of
(a)
.......................................................................................................................................
...........................................
on
behalf
of
my
said
firm.................................................................................................................................
...................
.......................................................................................................................................
.....................................................
that
the
entry
in
the
Register
of
Trade
..............................................................................................................
Mark
No.
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