TM 5- Counter-Claim
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REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY (BIPA)
INDUSTRIAL PROPERTY ACT, 2012
Form No.TM5
REPUBLIC OF NAMIBIA
BUSINESS AND INTELLECTUAL PROPERTY AUTHORITY (BIPA)
INDUSTRIAL PROPERTY ACT, 2012
Form No.TM5
COUNTER-STATEMENT TO REGISTRATION/RESTORATION/AMENDMENT
/SURRENDER OF MARK
(Section 147(3), 159(3) and 160(4) and regulations 107(2), 112(5), 113(5) and 119(3))
For Official Use:
Notice received on:
Application Reference No.:
(Official Date Stamp)
In the matter of Application No. for Registration/Restoration/Amendment/Surrender of a Mark.
I/We, _____________________________________________________________________________
give wish to counter the opposition statement in relation to the above identified mark published for Class(es)
in the bulletin of the day of _______________20______. No. , page___________.
Our counter-statement is as follows (attach further information):
Applicant/Agent
Name
Address
Telephone No. E-mail Address Fax No.
Supporting evidence accompanies this Form.
Power of Attorney accompanies this Form.
Fees accompany this Form.
Signed this day of 20 .
Signature (Applicant/Agent)