Trademarks Form Tm 10

FORM TM- 10 

THE TRADE MARKS ACT, 1999 

Age nt s  code  N o: 

Pr opr ie t or s  code  N o: 

Fees:Rs.3,000/-     

Application for payment of surcharge towards renewal of a trade mark, collective 
mark and certification trade mark under proviso to sub- section (3) of section 25. rule 
65,132(b),138(3). 

I (or we) 1 
..  t he  regist ered  propriet or/ s hereby  m ade  by  apply  for  t he  renewal  of 
registration of registered trade mark collective mark/certification trade mark No. in class 

which  has expired  on 

..and  t he  renew al  cert ificate be sent to the following address 

in India:- 

Dat ed  t his 

day 

of  20

Signature 

Name of signatory in Letters 

To 

The Registrar of Trade Marks 

The Office of the Trade Marks Registry at [3]_______________ 

1.  Strike out whichever is not applicable  

2. Insert here the full name and address of the Registered Proprietor. 

3 Signature of the registered proprietor or of his agent. 

4. State name of the place of the appropriate office of the Trade Marks Registry- 
(See rule 4) 

1.  To be filed along with Form TM- 12 and TM- 13 together with prescribed fees thereof.