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FORM TM-19

Application for the approval by the Registrar under rule 61 read with section 69(3)(b) of a proposed assignment, or of a transmission of a Trade Mark resulting inexclusive rights

in different persons for different parts of Pakistan.

(To be accompanied by a Statement of case in duplicate and a copy of the Instrument proposedfor the assignment or effecting the Transmission).

IN THE MATTER OF Trade Mark(s) ______________(a) Registered under

No.(s) ___________________ in Class(es) ________________________Application is hereby made by____________________________________

'(1 )(b)___________________________the Proprietor of the trade mark(s)shown in the accompanying Statement of case (c) [registered in his name] and (c) [used by him]in respect of' the following goods __________________________ to be sold or

otherwise traded in (e)______________________ (f) [and to (d)_________________________in respect of all the following goods________________________ to be sold or otherwise traded in (e)_______________ incircumstances that are stated fully in the accompanying Statement of Case.

'(2)(g) ________________who claims that the trade mark(s) shown in theaccompanying statement of case was (were), in respect of the following goods,namely________________ and on the (h) _________________ day of _______20- transmitted to (him) (i) _____________________who was his predecessor intitle, by or from (j)________________________by whom the Trade Mark was thenused in respect of the following goods namely_________________________all incircumstances that are stated fully in accompanying statement of case for the approval by the

Registrar of the aforesaid transmission.

Dated this ___________ day of ___________20 ______.

Signature (k) __________________ __________________________________

Name of signatory in block letters

To,The Registrar of Trade Marks,

Trade Marks Registry,

Karachi.

'Strike out either paragraph (1) or paragraph (2).

(a) To be struck out in the case of unregistered trademarks.

(b) Insert the name and trade or business address of the proprietor.

(c) Strike out either if not applicable.

Fee: See entry No. 20 of

the First Schedule

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(d) Insert the name(s) and trade or business address(esj of the proposedassignee(s).

(e) Insert the name(s) of the placets) in Pakistan.

(f) Strike out the bracketed passage if not required.

(g) Insert the name and trade or business address of the person who claimsa transmission to him.

(h) Insert the date of the transmission, which must not precede the date of commencement of

the Ordinance.

(i) Insert the name and trade or business address of the predecessor in title, if any.

(j) Insert name and trade or business address of the person who transmitted.

(k) Signature of applicant.