In the matter of Trade Mark(s) No.(s)' .......................registered in class .............in the name of 2 .................................................................
Application is hereby made by3 ................for the cancellation of the entry under the abovementioned registration (s) of 4.........................as the registered user thereof in respect of 5........................
The grounds of this application, particulars of which are given in detail in the accompanying statement of case are 6........................
All communications relating to this application may be sent to the following address in India:
..........................
Dated this ................day of ...........20............
7............SIGNATURE
To
The Registrar of Trade marks,
The office of the Trade Marks Registry at 8.......................