TM 15 – Recordal of Voluntary Licence
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REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY (BIPA)
INDUSTRIAL PROPERTY ACT, 2012
Form No. TM 15
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY (BIPA)
INDUSTRIAL PROPERTY ACT, 2012
Form No. TM 15
Registrar's Office, Republic of Namibia
Recording of Change in Ownership
Form No. III.L
Registrar's Office, Republic of Namibia
Recording of Change in Ownership
Form No. III.L
3333
RECORDAL OF VOLUNTARY LICENCE
(Section 165(2) and regulation 116(1)(a))
For Official Use
Received on:
(Official Date Stamp)
In the Matter of:
Trademark Application / Registration No.
Applicant(s)/Owner(s)/ Licensor
Name
Address
Telephone No. E-mail Address
Request
The Registrar is hereby requested to record the voluntary license of the above-identified Mark (s) with effect from the __day of_____________________20_____
Licensee
Name
Address
Telephone No. E-mail Address
Address for Service:
Nationality: Residence or principle place of business:
Additional Information
The following items accompany this Form:
Voluntary Licence Contract
Fees
Other (specify)
Signed this day of 20 .
Signature (New Applicant/New Owner)
Signature (Applicant/Owner)