IP/NIl/KENffll
Page 127
(Subsidiary]
FEE
Form TM 48
1st Sch.,
items 6, 6a
ApPLICATION FOR REGISTRATION OF REGISTERED USER
(To be accompanied by a Statement of Case giving particulars and
stating as required by section 31 (4), verified by a Statutory Declaration
made by the Proprietor, or by some person authorized to act on his
behalf and approved by the Registrar)
Application is hereby made by (a)
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,0• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
who is [are] the registered proprietor[s] of Trade Mark[s] No.[s]
· • . . • . • • . . • . .. (b) registered in Class
in respect of
(c) ..........•............. that (d)
.
·
.
of (e) ....•.•.••..........•.......•.....................•.....
· . . . . . . . . . . . . . . . . . . . . . .. trading as (f)
.
·
,
who hereby joins in the application, may be registered as a registered
user of the above-numbered registered Trade Mark[s] in respect of (g)
subject to the following conditions or restrictions: (h)
.
...............................................................
(I) The proposed permitted use is to end on the .............•
day of
, 19
.
The proposed permitted use .is without limit of period.
01
.
To: The Registrar of Trade Marks,
P.O. Box 30031,
Nairobi.
Note.-A request for the entry of an address for service of the
registered user may be made free in form TM 32, if it accompanies
this form.
(a) Here insert
full name, trade
or business ad
dress and des
cription of the
registered
pro
prietor(s).
(b) Additional
numbers may be
given in a signed
schedule on the
back
of
the
form.
(e) Here insert
the specification
in the Register.
(d) Here insert
the full name,
description
and
nationality
of
the
individual,
firm
or
body
corporate
pro
posed as regis
tered user. The
names
of
all
partners
in
a
firm
must
be
given in full. In
the case of a
body
corporate
brief particulars
of the kind and
country of in
cor p 0 ration
should be stated.
(e) Here insert
the full trade or
business address
of the proposed
registered user.
(f) Here insert
trading style, if
any.
(g) Here insert
designation
of
goods
(which
must be com
prised within the
specification).
(h)
W r i t e
"none" if there
are no condi
tions or restric
tions.
(i) Strike
out
the words that
are not applic
able.
U) Signature.
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