Fee: Rs.2500/-

Application is hereby made for registration in the register of the accompanying trade mark in class ¹ ……………………………. in respect of ² ……………………in the name(s) of ³………………. whose address is ⁴ ………………….. who claim (s) to be the proprietor(s) thereof [and by whom the said mark is proposed to be used ⁵ or (and by whom and his (their) predecessor(s) in title ⁶ the said mark has been continuously used since ..........]
in respect of the said goods or services.⁷

⁸……………………………. ⁹…………………………..
All communications relating to this application may be sent to the following address in India:-

Dated this …………….day of ………..20…………

¹⁰..SIGNATURE

To
The Registrar of Trade marks,
The office of the Trade Marks Registry at.(11)…………………..

1. The Registrar’s direction may be obtained if the class of the goods or services is not known.
2. Specify the goods or services for the class 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, 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 or services 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
   Colour. 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)