FORM TM- 13

THE TRADE MARKS ACT, 1999

Age nt s code N o:

Pr opr ie t or s code N o:

Fee: Rs.3000 plus the applicable renewal fee prescribed under entry Nos. 17 to
20and 22 of the First Schedule.

Restoration of trade mark removed from register for non- payment of renewal fee.

Section 25(4) rule 66, 132(b) and 138(3).

I (or we) ' ............................................................................hereby apply that the Trade

mark numbered...................................................................in class ....................be
restored to the register and the registration of the said Trade Mark in the class aforesaid be
renewed, and that the notice of restoration and renewal be sent to the following address in
India.

Dated this ................day of ...........19........

2................................

SIGNATURE

NAME OF SIGNATORY IN LETTERS

To

The Registrar of Trade Marks

The Office of the Trade Marks Registry at .3.................

1. Insert full name, address and nationality of the registered proprietor

2. Signature of the registered proprietor or of his agent

3. State the name of the place of the appropriate office of the Trade Marks Registry - (See
rule 4.)