(to be filed in triplicate accompanied by three copies of the draft deed of assignment or by an affidavit and two copies of the affidavit)
I (or We) 1
being the registered proprietor of Certification Trade Mark NO
.. registered in class (es)
hereby apply for the consent of the Registrar to the assignment or transmission of the aforesaid Certification Trade Mark to 2
.
3A draft deed of the proposed assignment is transmitted herewith
3 The circumstances under which the transmission takes place are set forth in the accompanying affidavit
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 5
.