(To be filed in duplicate/ triplicate along with the statement of case in duplicate/triplicate and accompanied by as many copies of each of them as there are registered users under the registration).
In the matter of Trade Mark No...................................................................................
registered in the name of ................................ in Class................................
I (or We) 1 ................................................................................................ hereby apply that the entry in the register in respect of the abovementioned Trade Mark may be (removed)2 (rectified) in the following manner:-
The grounds of my (our) application are as follows:-
The 3............Office of the Trade Marks Registry has been entered in the register as the appropriate office in relation to this trade mark.
No action concerning the trade mark in question is pending in any court
All communications relating to this application may be sent to the following address in India:-
Dated this ................day of ...........20............
4............SIGNATURE
To
The Registrar of Trade marks,
The office of the Trade Marks Registry at 3.......................