IPIN/lINGA/T/2 Page 67 (a) Strike out one of these words. (b) Signature. (c) Here insert the name of the public authority ordering the change, and the date thereof. (d) Signature of the Registered Proprietor or User, as the case may be. FORM 20 TRADE MARKS ACT (FEE STAMP-ITEM Sa) Application to the Registrar under section 27(2) and Regulation 63 to dissolve the Association between a registered Trade Mark and (an) other registered Trade Markis'; To be accompanied by a Statement of Case IN THE MATTER OF a Trade Mark No registered in Class I, (or We) . . . being the Registered Proprietor(s) of the above-numbered Trade Mark, hereby apply that the association of this Trade Mark with the following Trade Mark(s) ,egistered in my (our) name:No registered in Class . No registered in Class . may be dissolved and the Register amended accordingly. The grounds for this application are set forth in the accompanying Statement of Case. DATED this day of (a) To: The Registrar of Trade Marks, Federal Ministry of Trade and Tourism, Abuja, Nigeria. (a) Signature. 19 .. .