FORM 16
Joint Request to the Registrar by Registered Proprietor(s) and Transferee(s) to Register the Transferee(s) as subsequent Proprietor(s) of Trade Marks upon the same devolution of title
I/We,
(a)
and
(b)
hereby request,
under Regulation 73, that the name of (c)
carrying on
business as (d)
at
(e)
may be
entered in the Register of Trade Marks as proprietor(s) of
the Trade
mark(s) No(s)
in
Class(es)
as from the
(f)
by virtue of
(g)
(h) The Trade Mark at the time of assignment was (h) (not) used in a business in the goods in question, and the assignment (took) (h) (did not take) place on or after the commencement of the Act otherwise than in connection with the goodwill of a business in the goods, (h) and there is sent herewith a copy of the Registrar’s direction to advertise the assignment, a copy of each of the advertisements complying therewith, and a statement of the dates of issue of any publications containing them.
DATED this
day of
20……..
(i)__________________________
(ii)__________________________
ASSIGNOR
ASSIGNEE
Federal Ministry of Commerce
& Tourism
Garki,
(a) Name and
address of Registered Proprietor, or other Assignor or
Transmitter.
(b)
Full
name, trade address and nationality of Transferee
(c) Name of
Transferee
(d)
Description
of Transferee
(e) Trade or
business address of Transferee
(f) Date of
acquisition of proprietorship
(g)
Full
particulars of the instrument of assignment or transmission, if any, or
statement of case.
(h)
Strike
out any words not applicable (See
Regulation 78)
(i)
Signature
of Assignor or Transmitter
(j)
Signature
of Transferee.