Application For A Community Trade Mark
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2OFFICE FOR HARMONIZATION IN THE INTERNAL MARKET (OHIM)
APPLICATION FOR A COMMUNITY TRADE MARK
Date of receipt (DD/MM/YYYY)
Number of pages (including this one)
For receiving offi ce
/
/
*Languages
Language of the application
Your reference
or ISO code
(not more than 20 characters)
ES
DE
EN
FR
IT
Second language
Use second language for all correspondence
related to this CTM application
*Applicant
multiple applicants on
ID number
legal entity
natural
continuation sheet
Name of legal entity or
fi rst name and surname
Legal form of the entity
Tel, fax, e-mail
Address
Street and number
City and postal code
Country
Postal address
(if different)
Nationality
* Mark
attached
Word mark
Figurative mark
Colour per se
Other (specify)
Three-dimensional mark
Sound mark
Indication of colour(s)
attached
Description of the mark
attached
Disclaimer
attached
Collective mark
Regulation governing use of collective mark
attached
to follow
National search reports requested (subject to payment of an additional fee)
*List of goods and services
Same list as in previous CTM No.
Class No.
Goods and services
continuation sheet attached
Signature
Name
*Signature
page number
* Mandatory details
of
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Parent category: Business