(to be filed in triplicate accompanied by three additional representation of the mark)
In the matter of Trade Mark NO
.in Class
.. in the name of
. Made on
..
I (or we)1
hereby request the Registrar to divide application NO
.. in class
. in the following class or classes 2 and/ or to divide the specification of goods or services as indicated below:
.
.
A copy of the Registrar order on the request may be sent to the following address in India :-
Dated this ................day of ...........
SIGNATURE
To
The Registrar of Trade marks,
The office of the Trade Marks Registry at 3