In the matter of Trade Mark No.............................................................
Name and address of the registered proprietor ...........................................
Application is hereby made by the aforesaid registered proprietor for the striking out of 1 ................from the goods or services for which the Trade Mark No .................is registered in class ......2 A copy of this application has been served on the Registered User(s).
All communications relating to this application 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.......................