THE TRADE MARKS ACT, 1965
IN THE MATTER OF an
application for Registration
of
As Registered User of certain
Trade Marks in the name of
STATUTORY DECLARATION AND STATEMENT OF
CASE
I,
residing at
hereby solemnly and sincerely declare as
follows:
1. I am the
of
a corporation organised and existing under the
laws of the State of
located at
(hereinafter
referred to as “PROPRIETOR” and I am duly authorised to make this Declaration on
behalf of the PROPRIETOR).
2. PROPRIETOR
proposes that ,
located at
producer and distributor (hereinafter
referred to as “USER”, may be registered as a Registered User of the following
Trade Mark(s) set out in the schedule attached herewith in respect of “
“ included in the goods for which the said trade mark(s) is/are or will
be required.
3. PROPRIETOR and
USER have entered into a Registered User Agreement dated the
day of
a copy of which is attached hereto and marked “Exhibit
”, giving particulars of the relationship between PROPRIETOR and USER,
including particulars showing the degree of control by PROPRIETOR over the
permitted use.
4. USER is not
to be the sole Registered User of the said Trade Marks. PROPRIETOR reserves the
right to use the said Trade Marks in
5. The Trade
Marks are to be used by USER only so long as the said Registered User Agreement
dated the
day of
continues in force.
6. The
permitted use is to be otherwise without limit or period.
7. AND I MAKE
THIS SOLEMN DECLARATION conscientiously believing the same to be
true.
________________________
(PROPRIETOR)
Declared at
this
day of
BEFORE ME
NOTARY PUBLIC
(SEAL)