Trademarks Form Tm 53

FORM TM- 53 

THE TRADE MARKS ACT, 1999 

Agents Code No: 

Pr opr ie t or s  Code  N o: 

Fee: Rs.1,000 as Divisional fee plus appropriate class fee. See entry NO.68 of the first 
schedule.  

On a request for the division of an application or of a single application for different 
classes of goods or services. 

Proviso to Section 22 rule 104(1) 

(to be filed in triplicate accompanied by three additional representation of the mark) 

I n  t he  m at t er  of  Trade  Mark  NO

.in  Class

..  in  t he  nam e  of 

.  Made  on 

.. 

I (or we)1 
.  in  t he 
following class or classes 2 and/ or to divide the specification of goods or services as indicated below: 

hereby  request  t he  Regist rar  t o  divide  applicat ion  NO

..  in  class

. 

. 

A copy of the Registrar order on the request may be sent to the following address in India :-   

Dat ed  t his 

..day  of 

. 

SIGNATURE 

NAME OF SIGNATORY IN LETTERS 

To 

The Registrar of Trade Marks 

The Office of the Trade Marks Registry at 3  

1.  Insert the full name, address and nationality of the applicant  
2.  Mention the goods or services and the class or classes in which it is to be registered in 

ascending numerical order  

3.  State the name of the place of the appropriate office of the Trade Marks Registry  

(See rule 4)