Business and Intellectual Property Authority
Namibia Business Register

Forms & documents

TM 21- Request to enter Disclaimer

Type
Statutory form
Form
TM21
Category
Trade mark forms download

Download TM 21- Request to enter Disclaimer.docx

The form is always available to download and submit on paper.

REPUBLIC OF NAMIBIA

BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY (BIPA)

INDUSTRIAL PROPERTY ACT, 2012

Form No. TM 21

REPUBLIC OF NAMIBIA

BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY (BIPA)

INDUSTRIAL PROPERTY ACT, 2012

Form No. TM 21

APPLICATION TO ENTER DISCLAIMER/ENDORSEMENT/REMOVAL ON TRADE MARK REGISTRATION

(Section 177 and regulation 120(2))

For Official Use:

We/I _________________________________________________of ______________________ hereby request that you will enter in the register in connection with trade marks No. _________________ in Class _________ the following disclaimer/endorsement/ removal as indicated below:

Grounds for application

Applicant/Agent

Name

Address

Telephone No. E-mail Address

Fees accompany this Form.

Signed this day of 20 .

Signature (Applicant/Agent)

We would like to record which pages are used and what people search for, so BIPA can see what this register is failing to answer. It uses a cookie with a random number in it — no name, no account, and your IP address is shortened before it is stored. Searching works either way.