In the matter of a Trade Mark No.................................................registered in class................
I (or We) ...............................................................................being the registered proprietor(s) of the above numbered Trade Mark, hereby apply that the association of this Trade Mark with the following Trade Mark(s) registered in my (our) name:-
1No.......................register in class
No.....................registered in class
may be dissolved and the register amended accordingly.
The grounds for this application are set forth in the accompanying statement of case
All communications relating to this application may be sent to the following address in India:-
Dated this ................day of ...........20............
2............SIGNATURE
To
The Registrar of Trade marks,
The office of the Trade Marks Registry at 3.......................