FORMS Form 1 |
APPLICATION FOR REGISTRATION OF A TRADE MARK (Reproduction of mark should not exceed 8 cm x 8 cm or 3 in X 3 in) |
Please refer to the notes for completion of this form Trade Marks Act: Section 11 parts 15, 16 & 17 |
1. | Indicate if this application is for | |
| (i) | a trade mark | |
| (ii) | a collective trade mark | |
| (iii) | a certification trade mark | |
| (iv) | a defensive trade mark | |
2. | The applicant claims to be the owner of the trade mark and | |
| (i) | is using or intends to use the trade mark | |
| (ii) | has authorised or intends to authorise another person to use the trade mark | |
| (iii) | intends to assign the trade mark to body corporate | |
3. | Representation of trade mark | |
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4. | State “Yes” here if the trade mark is a word or words without any particular form of presentation | |
5. | If mark contains or consists of a sign that is a colour, shape or an aspect of packaging, or any combination of those, give concise and accurate description of the trade mark | |
6. | If the application is a series of marks indicate how many in the series | |
7. | If this application claims priority indicate the priority date(s) claimed, the country and the number. | Date of filing | Country | Number |
8. | Certified copy of application of which priority is claimed | |
| Is attached | |
| Will be furnished within six months | |
9. | Translation of certified copy |
| Is attached | |
| Will be furnished within one month of the filing date | |
10. | Specification of goods or services | Class number | List of goods |
11. | if colour claimed, indicate and state colours claimed | |
12. | Indicate any limitation or disclaimers | |
13. | Full name and address of applicant | |
14. | Full name and address of agent | |
15. | Authorisation of Agent is attached | Yes | No |
16. | The mark is 3 dimensional | | |
| Reproduction of the mark In black and white is attached | | |
| Reproduction of the mark In colour is attached | | |
17. | State the number of sheets attached to this application | |
Dated this ................ day of .............. , 20 |
_____________________ |
Signature of Agent |
Notes |
1. | If there is not enough space for your answer to any section of this form, use separate sheets and number each one and write on the form how many extra sheets you have used. |
2. | All applications must be accompanied by 6 additional representations. |
FOR OFFICIAL USE ONLY: |
Mark Type: | | Wordmark |
| | Word & device |
| | Device only |
FORM 2 |
(Regulation 108(1)) |
AUTHORISATION OF AGENT (Trade Marks Act: Section 183 |
I/We1 The full name of the Company or person ...................................... ............................................... have appointed2 Insert full name of Agent(s) .................... of3 Insert full address of Agent and Chambers (if applicable) ....................... to act as my/our Agent in relation to4 Tick appropriate box(es) |
❒ 1. | Application and registration of and post registration matters relating to the following trade mark(s): |
❒ 2. | The following application(s) or registration(s) in relation to the following registered mark(s): |
❒ 3. | Registration of and other proceedings in relation to all trade marks in which we may now or hereafter have any right or interest. |
I/We request that all monies, requisitions and communications relating thereto be sent to the agent at the above address. |
I/We hereby revoke all previous authorisations, if any, in respect of the same matter or proceeding. |
I/We hereby declare that I am/We are5 State nationality of Applicant .................................... |
Dated this .......................... day of .................. 2 ...... |
Signature6 To be signed by person appointing Agent or authorised officer of the Company: ............................................................ |
Address: ............................................................. |
N.B.: The Authorisation of Agent must bear the Seal or Stamp of the Company. |