Trademarks Form Tm 4

FORM TM- 4 

THE TRADE MARKS ACT, 1999 

Age nt s  code  N o: 

Pr opr ie t or s  code  N o: 

Fee Rs.10,000/-   

Application for registration of a certification trade mark 

( see section 71. rule 25(8) (a), 135 

(To be filed in triplicate accompanied by five representation of the certification trade 
mark and three copies of the draft regulation in Form TM- 49). 

One representation to be fixed within this space and four others to be sent separately. 
Representation of a larger size may be folded but must then be mounted upon linen or other 
suitable material and affixed hereto: (see rule 28). 

Application is hereby made for registration in the register of the accompanying certification 
trade mark in class[1] _______________in respect of[2] ____________________..in the name of [3] 
____________________ whose address is [4] ______________________________________________________ The applicant(s) is 
(are) not carrying on business in the goods or services of the kind for which registration of the 
said Certification Trade Mark is sought. 

All communications relating to this application may be sent to the following address in India:-     

Dated this _______________day of ____________20________ 

5_________________ 

SIGNATURE 

NAME OF SIGNATORY IN 
LETTERS 

To 

The Registrar of Trade Marks, 

The Office of the Trade Marks Registry at [6] 

1. Registrar's direction may be obtained if the class is not known. 

2. Specify the goods or services.  

1.  Insert the full name, description (occupation, calling and nationality) of the applicant. If 
the applicant is a body corporate, the nature and country of incorporation should be 
stated. (See rule 16).  

2.  Insert the full address of the applicant. [Address of the principal place of business or of 
residence in India, if any or address for service in India together with the address in the 
home country abroad].    

5. Signature of the applicant or of his agent (legal practitioner or registered 
trade marks agent or person in the sole and regular employment of the 
applicant. (See Section 145). 

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