Application For Recording Of Assignment Or Transmission Of Trade Mark

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TRADE MARKS ACT, 2003
FORM 10
(Sections 87-89, Regulation 59)
Application for Recording of Assignment or Transmission of Trade Mark
Registration number(s), Application number(s) and Class number(s) of the trade marks concerned
and the goods and services for which the trade mark(s) have been used:
Registration No./Application No.
Class No.
Goods or services for which the trade mark has been used and is assigned.
1. Full name of current Registered Owner (Assignor)
Name:
Address:
2. Full name and address of assignee
Name:
Address:
3. Date of Assignment
/
/
4. Is the applicant the
Current registered proprietor (Assignor)
or
Assignee
1
5. Certified copy of evidence of assignment or transmission of trade mark is attached
Yes
No
6. Agent's Details
Name:
Address:
7. Signature
Date
/
/
[Name of Agent]
dd
mm
yy
Tick appropriate box
1

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