Trademark Application Form - Intellectual Property Office Page 2

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5. The Mark (Tick off those that apply and supply any additional information required.)
The mark is three dimensional The mark is a stamped or marked container of goods.
Color/s is/are claimed as feature of the mark. (List down the color/s and submit reproduction of mark showing the
color/s claimed. Fees will be computed based on the number of class/es.)
The non-English words
are translated as folows:
The non-English characters
are translated as folows:
Disclaimer: The applicant does not claim the exclusive right to use the following:
The applicant is for a collective mark.
6. Goods and/or services covered by the application (Refer to the Nice Classification. Use additional sheet/s if necessary.)
Class No.
Class No.
Class No.
Class No.
Class No.
7. Claim for convention priority (Priority may be claimed if an application for the same mark for some or all of the
goods/services was filed in another convention country in the last six months.)
Country where earlier application was filed
Application Number
Date of filing
Printed Name
Signature
8.
9. Type of Entity
Big (Total Assets: More than Php 100M)
Small (Total Assets: Php 100M or Less)
IMPORTANT REMINDERS:
Pursuant to Sec. 124.2 and Sec. 145 of R.A. 8293:
1.) The applicant or the registrant shall file a Declaration of Actual Use (DAU) of the mark with evidence to that effect,
as prescribed by the Regulations within three (3) years from the filing date of the application. Otherwise, the
application shall be REFUSED or the mark shall be REMOVED from the Register by the Director.
2.) A certificate of registration shall remain in force for ten (10) years: Provided, that the registrant shall file a
Declaration of Actual Use to that effect, or shall show valid reasons based on the existence of obstacles to
such use, as prescribed by the Regulations, within one (1) year from the Fifth Anniversary of the date of the
registration of the mark. Otherwise, the mark shall be REMOVED from the Register by the Office.
Additional space, if needed
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