FORM TM-1

THE TRADE MARKS ACT, 1999

Code No. 673

Application for registration of a trade mark for goods or services (other than a collective mark or a certification trade mark) in the register [Section 18(1); Rule 25(2)] -

MARK NAME

- Application is hereby made for registration in the register of the accompanying trade mark in Class _____ in respect of ______in the name of ______an Indian Company incorporated and existing under the Companies Act, 1956, who are ______, whose address is ______, who claim to be the proprietors thereof and by whom the said mark is Proposed to be Used/Used Since in respect of the said goods.

All communication relating to this application may be sent to the following address in India: -

Dated this ______day of ______, 2005

For ______

______Authorised Signatory

To The Registrar of Trade Marks, The Office of Trade mark Registry at Mumbai THE TRADE MARKS ACT, 1999

MARK NAME

Class :

Specification of Goods :

Name of the Applicant :

Address of the Applicant :

Address for Communication:

User : Proposed to be Used/Used Since

Dated this ______day of ______, 2005

For ______

______Authorised Signatory

To

The Registrar of Trade Marks, Office of the Trade Marks Registry at Mumbai

Code No.