In the matter 1 of Trade Mark No. .............................................. registered in ............ Class ......................................................... I (or we)2 ................................................hereby request the Registrar to furnish me (us) with his certificate to the effect that4 .............................
a certified copy
......................................................... ......................................................... ......................................................... ......................................................... 3a certificate of the registration of Trade Marks for use in obtaining registration in5 ......................................
................... The certificate/certified copy be sent to the following address in India .........................................................
Dated this .............day of ......20..........
All communications relating to this application may be sent to the following address in India:-
7SIGNATURE 6
To
The Registrar of Trade marks,
The office of the Trade Marks Registry at Mumbai