IP/NIl/NGA/T/2 Page 53 SECOND SCHEDULE-continued FORM 5 TRADE MARKS ACT (FEE STAMP-ITEM Ie or ld) Application for Registration of Certification Trade Mark under Section 43 (Regulation 40) (To be accompanied by two unstamped duplicates) One representation to be fixed within this space, and six others to be sent on separate Forms 3. Representations of a larger size may be folded but must then be mounted upon linen or other suitable material and affixed hereto. Application is hereby made for Registration in Part A of the Register of the respect of (a) in the name of (h) .. ............................... whose address is (c) . DATED this (d) day of ,19 .. . To: The Registrar of Trade Marks, Federal Ministry of Trade and Tourism, Abuja, Nigeria. (a) Here specify the goods. Only goods included in one and the same class should be specified. A separate application Form is required for each class. (b) Here insert the full name, description and nationality of the applicant. lfthe applicant is a body corporate, the kind and country of incorporation should be stated. (c) Here insert the full address of the applicant. (d) Signature.