FORM TM-4

TRADE AND MERCHANDISE MARKS ACT, 1958

Application for registration of a Certification Trade Mark under Sec. 62,
rule 127

(To be filed in quadruplicate accompanied by four copies of
the draft regulations with Form TM-49)
One representation to be fixed within this space and ten others to be sent separately. Representation of a larger size may be folded but must then be mounted upon linen of other suitable materials and affixed hereto-See rule 28.
Application is hereby made for registration in Part A of the register of the accompanying Certification Trade Mark in class1 ………..in respect of 2................ in the name of 3……………. whose address is 4……………..
The applicants) is (are) not carrying on business in the goods of the kind for which registration of the said Certification Trade Mark is sought.
Dated………. This…………… day of…………. 19………………
5...............
To
The Registrar of Trade Marks,
The Office of the Trade Marks Registry at 6……………..
1. Registrar’s direction may be obtained if the class in not known.
2. Specify the goods. Only goods included in one and the same class should be specified. A separate application form is required for each class.
3. Insert the full name; description (occupation and calling) and nationality of the applicant. If the applicant is a body corporate, the nature and country of incorporation should be stated- See rule 16.
4. Here insert the full address of the applicant. 1Address of the principal place of business or of residence in India, if any (See rules 3 and 17) or address for service in India together with the address in the home country abroad (See rules 16 and 18).
5. Signature of the applicant or of his agent (legal practitioner or registered trade mark agent or person in the sole and regular employment of the applicant-See Sec. 123).
6. State the name of the place of the appropriate office of the Trade Marks Registry-See rule 4.