FORM TM-19

TRADE AND MERCHANDISE MARKS ACT, 1958

Application for the approval by the Registrar under Sec. 40 of a proposed assignment, or of a transmission of a trade mark, resulting in exclusive rights in different persons for different parts of India. Rule 80.
(To be accompanied by a statement of case in duplicate and a copy of the instrument proposed for the assignment or effecting the transmission.)

IN THE MATFER OR Trade Mark(s) ………………1[Registered under No(s) ……………in class(es) ……………]
Application is hereby made by………………..
*(I)2……..the proprietor of the trade mark(s) shown in the accompanying statement of case (registered in his name) 3 and (used by him) 3 in respect of the following goods ………for the approval by the Registrar of a proposed assignment of the trade mark(s) to4………in respect of the following goods………to be sold or otherwise treaded in 5………..(and to 6……in respect of all the following goods………..to be sold or otherwise traded in…………..) in circumstances that are stated fully in the accompanying statement of case.
* (II) 7…………. who claims that the trade mark(s) shown in the accompanying statement of case was (were) in respect of the following goods, namely……………and on the8………..day of ……….19…… transmitted to him9 who was his predecessor in title.
By or from 10……………by whom the Trade Mark was then used in respect of the following goods namely…………..all in circumstances that are stated fully in the accompanying statement of case, for the approval by the Registrar of the aforesaid transmission.
All communications relating to this application may be sent to the following address in India:
Dated this……………. day of …………… 19…..
11.........…….
To
The Registrar of Trade Marks,
The Office of the Trade Marks, Registry at12
1.  To be struck out in the case of unregistered trade marks.
2. Insert the name and address of the proprietor.
3. Strike out either if not applicable.
4. Insert the name(s) and addresses) of the proposed assignees).
5. Insert the name(s) of the place(s) in India.
6. Strike out the bracketed passage if not required.
7. Insert the name and address of the person who claims a transmission to him.
8. Insert the date of the transmission.
9. Insert the name and address of the predecessor in title, if any.
10. Insert the name and address of the person who transmitted.
11. Signature of the applicant or of his agent.
12. State the name of the place of the appropriate office of the Trade Marks Registry.-See rule 4.
*Delete out paragraph I or paragraph II.