Trademarks Form Tm 65
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FORM TM- 65
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 under section 71 to register a certification trade mark for specification of
goods or services included in a class from a convention country under section 154(2) rule
25(8)(b), 135(1)
(to be filed in triplicate accompanied by three copies of the draft regulation with Form TM-
49)
One represent at ion is t o be fixed wit hin t his space and five ot hers is t o be sent separat ely.
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.
Applicat ion is hereby m ade for regist rat ion in t he Regist er of Trade Mark of t he accom panying
cert ificat ion t rade m ark in class 1
.w hose address
w ho claim s( s) t o be t he propriet or( s) t hereof [ and by whom t he said is proposed t o be
is 4
in t it le 6 t he said m ark has been
used 5 or ( and) by whom and his ( t heir) predecessor( s)
cont inuously
services
7]
in t he nam es of 3
.. in respect of 2
respect
goods
used
since
said
t he
.in
or
of
8
9
The applicat ion in a convent ion count ry t o regist er t he t rade m ark has been m ade in
..on
.
A cert ified copy cert ified by an official of t he convent ion count ry in which t he applicat ion was filed is
enclosed (along with its translation in English)
I ( we request
mentioned application in a convention country under the provisions of Section 154 of the Act.
t he t rade m ark m ay be regist ered wit h priorit y dat e based on t he above
t hat
All communications relating to this application may be sent to the following address in India:-
Dat ed t his
. Day of
..20
10
SIGNATURE
NAME OF SIGNATORY IN LETTERS
To
The Registrar of Trade Marks
The Office of the Trade Marks Registry at 11
1.The Regist rar's direct ion m ay be obt ained if t he class or classes of t he goods or services is not
known.
2.Specify t he goods or services for t he class or classes in respect of w hich applicat ion is m ade. A
separat e sheet det ailing t he goods or services m ay be used. The specificat ion of goods or services
should not ordinarily exceed five hundred charact ers. An excess space fee of Rs.10 per charact er is
payable beyond t his lim it . See rule 25( 16) . The applicant shall st at e t he exact num ber of excess
charact ers where t he specificat ion of goods or services exceeds of five hundred charact ers at t he
space provided immediately before the signature.
3. I nsert legibly t he full nam e, descript ion ( occupat ion and calling and nat ionalit y of t he applicant ) .
In the case of a body corporate or firm the country of incorporation or the names and descriptions of
t he partners composing the firm and the nature of registration, if any, as the case may be, should be
stated. (See rule 16).
4. The applicant shall st at e t he address of his principal place of business in I ndia. if any. ( See rules
3 and 17) I f t he applicant carries on business in t he goods or services for which regist rat ion is
sought at only one place in I ndia such fact should be st at ed and t he address of t he place given. I f
the applicant carries on business in the goods or services concerned at more places than one in India
t he applicant should st at e such fact and give t he address of t hat place of business which he
considers t o be his principal place of business. I f, however, t he applicant does not carry on business
in t he goods or services concerned but carries on business in ot her goods or services at any one
place in India this fact should be stated and the address of that place given; and where the applicant
carries on such business at more places than one in India such fact should be stated and the address
of the place which he considers to be his principal place of business given. Where the applicant is not
carrying on any business in I ndia t he fact should be st at ed and t he place of his residence in I ndia, if
any, should be st at ed and t he address of t hat place given. I n addit ion t o t he principal place of
business or of residence in I ndia, as t he case m ay be, an applicant m ay if he so desires given an
address in I ndia t o which com m unicat ions relat ing t o t he applicat ion m ay be sent ) . ( see rule 19) .
Where t he applicant has neit her a place of business nor of residence in I ndia t he fact should be
stated and an address for service in India given along with his address in his home country abroad.
5. Strike out if the mark is already in use
6. St rike out t he words if not applicable. I f user by predecessor( s) in t it le is claim ed t he nam e( s) of
such person( s) t oget her wit h t he dat e of com m encem ent of use by t he applicant him self should be
stated at 8.
7. I f t here has been no use of t he t rade m ark in respect of all t he goods or services specified at 2,
the items of goods in respect of which the mark has actually been used should be stated.
8.For additional matter if required, otherwise to be left blank.
9.I f colour com binat ion is claim ed, clearly indicat e it and st at e t he colours. I f t he applicat ion is in
respect of a three dimensional mark, a statement to that effect. (See rule 25 and 29)
10. Signat ure of t he applicant or of his agent ( legal pract it ioner or regist ered t rade m arks agent or
person in the sole and regular employment of the applicant- See Section 145)
11. State the name of the place of the appropriate office of the Trade Marks Registry
(See rule 4)