I (or we) 2.............................................................................. hereby leave the prescribed fee of Rs...................for renewal of registration of the Trade Mark/Collective mark/certification trade mark No................in Class ................... The Notice of renewal of the registration may be sent to the following address in India:-
Dated this ................day of ...........20............
[3]SIGNATURE
To
The Registrar of Trade marks,
The office of the Trade Marks Registry at[4].......................