TRADEMARK USER AFFIDAVIT

I, Mr. <Authorised Signatory>, <Designation> of <Applicant Name>, having registered office

at <Applicant Address>, do hereby solemnly affirm and declare as follows:

1. That I am an Indian by nationality and residing at <Residing Address>.

2. I state that I am familiar and well conversant with the facts and circumstances of the

present matter and competent and authorized to swear this affidavit and make the

necessary statement in respect thereof.

3. A trademark application is hereby made for registration of the accompanying trade

mark in class <00> and the said mark has been continuously used since <First Use

Date> in respect of the said <goods/services>.

I solemnly state that the contents of this affidavit are true to the best of my knowledge and

belief and that it conceals nothing and that no part of it is false.

Signature

Place:
Date:

VERIFICATION

I above named deponent do hereby verify that the statements made by me on behalf of the

applicant under Para 1 to 3 are true and correct to the best of my knowledge and belief &

nothing is false and nothing is concealed in it.

Signature

Place:
Date: