Trademarks Form Tm G

FORM TM-G The Trade Marks Act, 1999 Trade Marks Agent Registration/Renewal/Restoration/Alteration [The relevant information must be filled up in colored box against the respective head]  PART A  [applicants details]  FEE (See First Schedule for Appropriate Fee) Name in full beginning with surname (in capital letters)*   Father’s /Husband’s Name*  Address of residence*     (State)                                (Country) Principle place of business*     (State)                                (Country) Nationality*   Mobile No*:   E-mail address:*    PART B: PURPOSE  OF REQUEST [appropriate column required to be ticked and filled accordingly] a  Application for Registration as Trademark Agent Date of Place of Birth  Occupation in full  Particulars of qualification for registration as a trade mark agent  Whether at any time removed from the Register of Trade Marks Agents and if so the details thereof  b Application for continuation/restoration of the name of a person in the Register of Trade Marks Agents Trade Mark Agent No.  Name:    address   Mobile No :   E-mail address:    i Period for Continuation: From_________ to ____________ ii Date of expiration of last registration:   Years after which request for restoration and continuation  is filed     c                       Application for alteration in the Register of Trade Marks Agents Trade Mark Agent No.:   Name:    Details to be altered in and as Name:    Address of place of residence   Address of principle place of business   Educational Qualification   Mobile No:   E-mail address:     PART C [details of the person making application/request and details of document is submitted] Signature   Name   Authority   List of documents attached