Trademarks Form Tm 69

FORM TM- 69 

THE TRADE MARKS ACT, 1999 

Age nt s  code  N o: 

Pr opr ie t or s  code  N o: 

Fee: Rs.10,000/-  for each class. 

A single application for the registration of a certification trade mark in different classes 
from convention country. 

Section 18(2), 71, 154(2), rule 25(18)(b), 103,135 

(To be filled in triplicate accompanied by five additional representation of the collective 
trade mark and three copies of the draft regulation in Form TM- 49) 

One  represent at ion 
t o  be  sent  separat ely. 
Represent at ion  of  t he  larger  size  m ay  be  folded  but  m ust  t hen  be  m ount ed  upon  linen  or  ot her 
suitable material affixed thereto. See rule 28. 

t his  space  and 

fixed  wit hin 

five  ot hers 

t o  be 

Application is hereby made for registration in the register of the accompanying 

Collective trade mark in  

(i) class 1 __________________________________ in respect of 2 _________________________ 

(ii) class 1 __________________________________ in respect of 2 _________________________ 

(iii) class 1 __________________________________ in respect of 2 _________________________ 

in  t he  nam e( s)  of  3___________________  whose  address  is  4  ________________________  who  claim  ( s)  t o  be  t he 
propriet or( s)  t hereof  and  by  whom  t he  said  m ark  is  proposed  t o  be  used  5  or  ( and  by  whom  and  his 
( t heir)  predecessor( s)  in  t it le  6  t he  said  m ark  has  been  cont inuously  used  since  __________  in  respect  of 
the said goods or services.7   

The application in a convention country to register the trade mark has been made 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  t hat  t he  t rade  m ark  m ay  be  regist ered  wit h  priorit y  dat e  based  on  t he  above 
mentioned application in a convention country under the provisions of Section 154 of the Act. 

8__________________________________ 9________________________________ 

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

Dated this _______________.day of ___________20____________  

10..SIGNATURE 

NAME OF SIGNATORY IN LETTERS. 

To 

The Registrar of Trade marks,  

The office of the Trade Marks Registry at_________________________ 

1.  The Registrar's direction may be obtained if the class or classes of the goods or services is 

not known.  

2.  Specify the goods or services for the class or classes in respect of which application is made. 
A separate sheet detailing the goods or services may be used. The specification of goods or 
services should not ordinarily exceed five hundred characters. An excess space fee of Rs.10 
per character is payable beyond this limit. See rule 25(16). The applicant shall state the 
exact number of excess characters where the specification of goods or services exceeds of 
five hundred characters at the space provided immediately before the signature.  

3. Insert legibly the full name, description (occupation and calling and nationality of the applicant). 
In the case of a body corporate or firm the country of incorporation or the names and descriptions of 
the 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 state the address of his principal place of business in India. if any. (See rules 3 
and 17) If the applicant carries on business in the goods or services for which registration is sought 
at only one place in India such fact should be stated and the address of the place given. If the 
applicant carries on business in the goods or services concerned at more places than one in India the 
applicant should state such fact and give the address of that place of business which he considers to 
be his principal place of business. If, however, the applicant does not carry on business in the goods 
or services concerned but carries on business in other 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 India the fact should be stated and the place of his residence in India, if 
any, should be stated and the address of that place given. In addition to the principal place of 
business or of residence in India, as the case may be, an applicant may if he so desires given an 
address in India to which communications relating to the application may be sent). see rule 19. 
Where the applicant has neither a place of business nor of residence in India the 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. Strike out the words if not applicable. If user by predecessor(s) in title is claimed the name(s) of 
such person(s) together with the date of commencement of use by the applicant himself should be 
stated at 8. 

7. If there has been no use of the trade mark in respect of all the 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.If colour combination is claimed, clearly indicate it and state the colours. If the application is in 
respect of a three dimensional mark, a statement to that effect. (See rule 25 and 29) 

10. 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) 

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

(See rule 4)