Form TM 2

APPLICATION FOR REGISTRATION OF A TRADE MARK

(Rules 21(1), 36(1), 37, 94A(1))

1. Trade Mark:

Note: One representation of the trade mark must be set out in the above box.

2. Application is hereby made for registration of the above trade mark as (check one):
a trade mark other than a trade mark listed below

a certification trade mark

a defensive trade mark (if a defensive trade mark is applied for a statement of case and
statutory declaration as required under r. 36(1) must accompany this application)

a collective trade mark (if a collective trade mark is applied for a copy of the rules governing
the use of the trade mark must accompany this application)

3. *
Class Goods/Services

4. Additional information, if any*……………………………………………….

………………………………………………………………………………..
………………………………………………………………………………..

5. Proposed proprietor

Name: ……………………………………………………………………………………….….
Trade or business address: ……………………………………………………………………..
……….………………………………………………………………………………………….
Trading style (if any): …………………………………………………………………………..

*Applicant may use separate sheet where necessary

Date: ………………………………
Signature: …………………………….

To: The Registrar of Trade Marks.