LAWS OF MALAWI Trade marks Trade Marks Regulations Cap. 49:01 (Subsidiary) *To be struck out in the case of unregistered trade marks. Struck our either paragraph I or paragraph II. MALAWI Form TM. No. 41 Sections 27(6). Regulations 79. TRADE MARKS ACT (CAP. 49:01) Fee: 8(a). Application for the Approval by the Registrar under section 27(6) of the Act of a proposed assignment, or of a transaction (on or after the commencement of the Act), of a Trade Mark resulting in exclusive rights in different persons for different parts of Malawi (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) No.(s) * registered No.(s) ………………….. in Class(es) ………………………………………………………………………*, the property of …………………………………………………………………………… I. Application is hereby made by (1) …………………………………………………… ………………………………………………………………………………………….. of ……………………………………………………………………………………….. the proprietor of the trade mark(s) shown in the accompanying statement of case (2) (registered in his name) and (2) (used by him) in respect of the following goods ………………………………………………………………………………………. for the approval by the Registrar of a proposed assignment of the trade mark(s) to (3) ………………………………………………………………………………………….. of ………………………………………………………………………………………. in respect of the following goods to be sold or otherwise traded in in (4) ………………..* and to (3) ……………………………………………………………. of ……………………………………………………………………………………… in respect of the following goods ………………………………………………………… to be sold or otherwise traded in in (4) ……………………………………………………. in circumstances that are stated fully in the accompanying statement of case. II. (5) …………………………………………………………………………………….. of ………………………………………………………………………………………… who claims that the trade mark(s) shown in the accompanying statement of case was/were, in respect of the following goods, namely ………………………………….. ………………………………………………………………………………………….. and on the (6) ………………………….. day of …………………………………….., 200…… transmitted to (7) him (to (8) ………………………………………………. ……………………………………………………………………………………….. of ……………………………………… (who was his predecessor in title)) by or from (9) ………………………………………………………………………………………… of ………………………………………………………………………………………….. (1) Insert here the name and trade or business of the proprietor. (2) Strike either if applicable. out not (3)Insert here the names and trade or business addresses of the proposed assignee(s). (4) Insert the name of the place or places in Malawi. *Strike out the bracketed passage if not required. (5) Insert here the name and trade or business address of the person who claims a transmission to him. (6) Insert here the date of the transmission’ which must not precede the commencement of the Act. (7) Strike out the words that are not applicable. (8) Insert here the name and trade or business address of the predecessor in title, if any. (9) Insert here the name and trade or business address of the person who transmitted. (10) Signature.