I1 .................................................of...................... being a registered trade marks agent (Registration No.......) hereby request that my 2 name, address of the place of residence address of the principal place of business or qualifications entered in the Register of Trade Marks Agents may be altered as follows:-
All communications relating to this application may be sent to the following address in India:-
Dated this.......day of .......20.......
Signature
To
The Registrar of Trade marks,
The office of the Trade Marks Registry at 3