Trademark Application Form - Dpt Law 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 follows:________________________________________________________________________________________.
The non-English characters _____________________________________________________________________________________
are transliterated as follows:_____________________________________________________________________________________.
Disclaimer: The applicant does not claim the exclusive right to use the following: _______________________________________
____________________________________________________________________________________________________________.
The application 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
8.
Printed Name
Signature
9. Type of Entity (An applicant claiming to be a small entity should submit a declaration under oath within sixty (60) days from filing,
otherwise, the applicant will be assessed to pay the fee required of a big entity.)
Big (Total Assets: More than Php 100M)
Small (Total Assets: Php 100M or Less)
Additional space, if needed
TM001_0109 – Page 2 of 2

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