LAWS OF MALAWI Trade marks Trade Marks Regulations Cap. 49:01 (Subsidiary) MALAWI Form TM. No. 40 Sections 27(5). Regulations 79. TRADE MARKS ACT (CAP. 49:01) Fee: 8. Application for Certificate of the Registrar under section 27(5) of the Act 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 mark(s) No.(s) ………………………………………….. registered in the name of ……………………………………………………………… in Class(es) ……………………………………………………………………… Application is hereby made by (1) …………………………………………………… ………………………………………………………………………………………….. of ……………………………………………………………………………………….. being the registered proprietor(s) of the above-numbered registered trade mark(s), for the Registrar’s certificate under section 27(5) of the Act with reference to a proposed assignment of the registered trade mark(s) No.(s) ………………………………….. to (2) ……………………………………………………………………………………… ………………………………………………………………………………………… of ………………………………………………………………………………………….. ………………………………………………………………………………………….. in circumstances that are stated fully in the accompanying statement of case. (1) Here insert the name and trade or business address of the registered proprietor. (2) Here insert the name and trade or business address of the proposed assignee. (3) Signature. (3) …………………………………………….. The Registrar The Trade Marks Office, P.O. Box 100 BLANTYRE