I,1....................................of .................................do hereby solemnly and sincerely declare that the particulars set out in the statement of case, exhibit marked ....................and left by me in connection with [2]........................... in respect of the Trade Mark No.................in class ......................are true and comprise every material fact and document affecting the present proprietorship of the Trade Mark, to the best of my knowledge, information and belief.
3............SIGNATURE
All communications relating to this application may be sent to the following address in India:-
Declared at .....................
this ......................day of ..........20...............
Before me 4...................