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Malaysia Legislation


P.U.(A) 247/2001
GEOGRAPHICAL INDICATIONS REGULATIONS 2001



SECOND SCHEDULE - Form GI 9

CENTRAL GEOGRAPHICAL INDICATIONS OFFICE MALAYSIA
GEOGRAPHICAL INDICATIONS REGISTRY
GEOGRAPHICAL INDICATIONS ACT 2000

GEOGRAPHICAL INDICATIONS REGULATIONS 2001


    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.
    For Official Use:


    Date of receipt by
    Central Geographical Indications Office:
    Fees received on:

    Amount:
    Applicant's or agent's file reference

                            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 ...........
    1. Full name and address of proprietor:
    ..................................................................
    ..................................................................
    ..................................................................
    ..................................................................
    Tel. No.:Telegraphic Address:Telex No.:Fax No.:
    2. Full name and address of agent (if any):
    ..................................................................
    ..................................................................
    ..................................................................
    ..................................................................

    Agent's Registration No. (if known): ..................................................................
    Agent's own reference: ..................................................................
    Tel. No.:Telegraphic Address:Telex No.:Fax No.:
    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.