In the matter of Trade Mark No.....................................registered in class ............... in the name of ....................................
I or(we)1 .................................... .................................... hereby request the Registrar to add to the entry relating to the above numbered Trade Mark in the register, and to advertise in the Trade Marks Journal, a note that in 2 ............................
.................................... the Appellate Board certified that the validity of the said registration came into question and was decided in favour of the proprietor of the Trade Mark in the terms of accompanying officially certified copy of the certificate of validity.
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.......................