Trademarks Form Tm 43

FORM TM- 43 

THE TRADE MARKS ACT, 1999 

Age nt s  Code  N o: 

Pr opr ie t or s  Code  N o: 

Fee Rs.1000 

Application for the removal from the Register of a collective mark or to cancel or vary the 
registration of a certification trade mark . 

See Section 68,77 and rules 92, 133,139. 

(To be filed in triplicate alongwith statement of case in triplicate). 

t he 

m at t er 

I n 
NO_________________________________________________regist ered  in  t he  nam e  of 
_______________________________________________________. 
________________________________________________________________________________________________________________________________  

Mark 
Trade 
..  in  class  _____________  ( or  We) ' 

Mark/ Cert ificat ion 

Collect ive 

of 

being an aggrieved person(s) hereby apply for an order of the Registrar that : 

2  The  ent ry  in  t he  Regist er  in  respect  of  t he  abovem ent ioned  Collect ive  Mark/ Cert ificat ion  Trade 
Mark may be3 expunged/varied in the following manner: 

The grounds of my(our) application are as follows:4- 

________________________________________________________________________________________ 

The facts and matters set forth in the enclosed statement of case are true to the best of my 

(our) knowledge, information and belief. 

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. State full name, address and nationality. An address for service in India should be stated if the 
applicant has no place of business or of residence in India. (See rule 18). 

2. Strike out that which is not applicable 

3. Strike out word not applicable 

4. Specify any of the grounds set forth in section 68 or clauses(a) to (d) of section 77, as the case 
may be. 

5. Signature 

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