Trademark Application Form - Intellectual Property Office

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Document No.
Intellectual Property Office of the Philippines
IPOPHL-SOP-BOT-01-F01
Rev. No. 00
Bureau of Trademarks
TRADEMARK APPLICATION FORM
Issued by:
Date:
BOT
08/03/2015
(Prescribed Form)
1. Applicant
Name
Country of Residence or Incorporation
Natural
Juridical
Complete Address
Telephone:
Facsimile:
Email:
Name/s of other applicant/s (if any)
2. Resident Agent or Authorized Representative
Agent
Agent
Agent Code
Agent Code
Address in the Philippines
Name and Position of Company's Authorized Representative (if applicant is not represented by agent)
Address in the Philippines
3. Address for service of correspondence in the Philippines
Please check one:
Applicant's address
Agent's / Authorized Representative's address
Telephone:
Facsimile:
Email:
(Place a copy of the mark in the box. The mark should be clear enough to be reproduced and digitized.)
4. The Mark
Title of Mark
If the mark consists of image/s or words and image/s, give a complete and concise
description of the mark. (Use additional sheet/s if necessary.)
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