REPLY BY APPLICANT FOR CANCELLATION OR RECTIFICATION OF REGISTRATION OF GEOGRAPHICAL INDICATION
[Subregulation 30(5)]
TO: The Registrar of Geographical Indications Central Geographical Indications Office Kuala Lumpur, Malaysia. |
Date of receipt by
Central Geographical Indications Office:
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Applicant's or agent's file reference
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IN THE MATTER OF:
Applicant No: ................... for Cancellation/Rectification of Registration of Geographical Indication
Filing date of application:
Class:
Published in the Gazette of the:
.............. day of ......... 20 .........., No. ........... page ...........
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1. Full name and address of proprietor:
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Tel. No.: | Telegraphic Address: | Telex No.: | Fax No.: |
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2. Full name and address of agent (if any):
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Agent's Registration No. (if known): .................................................................. Agent's own reference: ..................................................................
Tel. No.: | Telegraphic Address: | Telex No.: | Fax No.: |
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3. Grounds of opposition:
(if the space provided is insufficient, please continue on a separate sheet which must be firmly annexed to this Form)
Signature: ..................................................................
Name of signatory (in block letters): ..................................................................
Date: ..................................................................
Note: A copy of this Form must be sent to the applicant for registration at his address for service.
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