D. 1898.]
TRADE MARKS.
[No. 6.
Your Excellency is hereby respectfully asked to permit and direct the registration in the Register of Trade Marks of the accompanying Trade Mark in Class
in respect of (a.)
the name of (b.)
who claims to be the proprietor thereof (c.)
The essential particulars of the Trade Mark are the following (d.)
disclaim any right to the exclusive use of the added matter.
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(a.) Only goods contained in one and the same class should be set out here. A separate application is required for each separate class.
(b.) Insert legibly the full name, address, and description of the individual, firm, or company. Add trading style, if any, and, if there are more partners than one in the firm, state the names of all the partners.
(c.) In case of firm or company, alter to "claim to be the proprietors thereof."
(d.) See Section 3 of the Ordinance.
Dated the day of
FORM No. 2.
Statutory Declaration.
of
(Signed.)
(e.)
(e.) To be signed by the applicant or by an agent, duly authorized.
Section 5:
I, A.B., do solemnly and sincerely declare as follows:
1. To the best of my knowledge and belief, I (1.) have the right to the exclusive use of the Trade Mark hereunto annexed and referred to in my application dated the day of
Such Trade Mark has been used by me [or by my firm of or the company, or by (1) Insert: I, jointly with or solely, or A.B., as the case may be] in respect of the goods mentioned in my application since (2.) Insert time when use commenced.
2. or 2 (a.) to be used according to the circumstances.
Such Trade Mark has not hitherto been used by me [or by my firm, or as the case may be] in respect of the goods mentioned in my application, but it is my [or their] intention so to use it forthwith.
To the best of my knowledge and belief, the said Trade Mark has (3.) been registered in England [in the name of] (4.) And I make this solemn declaration conscientiously believing the same to be true.
(3.) If not, insert the word "not."
(4.) Add the name, if registered, and for what classes of goods.