REQUEST FOR REGISTRAR'S CERTIFICATE OTHER THAN CERTIFICATE OF REGISTRATION
[Regulation 34]
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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1. Geographical Indication Number in respect of which a certificate is required. |
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3. Certificate requirements:
Set out below the particulars which the Regular is requested to certify.
Note: A representation of the geographical indication will not be included in any certificate issued in response to this request unless one copy suitable for the purpose is supplied to the Registrar. |
4. Name and address to which the certificate is to be sent:
Signature: ..................................................................
Name of signatory (in block letters): ..................................................................
Date: .................................................................. |