FORM TM-21

TRADE AND MERCHANDISE MARKS ACT, 1958

Application for extension of time in which to apply for the Registrar’s direction for the advertisement of an assignment of trade marks otherwise than in connection with the goodwill of the business. See. 41. rule 77 (3).
Application is hereby made by1 ……………….for extension of time of 2........ month (s) in which to apply or the Registrar’s directions for the advertisement of an assignment of the following trade marks otherwise than in connection with the goodwill of the business in which they 3(had been) (were) used, namely:
(I) Registered Trade Marks :

1Registration Number	Class	Goods in respect of which the mark has been or is used and is assigned
………………………..	……………..	……………………………….

All of which are or were registered in the name of4 ……of……..who……. is the assignor ;
(II) Unregistered Trade Marks all being marks which 5 [(had been) (were) used in his business in respect of the goods stated below, by6………of ………who is the assignor:

7 Representation Mark	Goods in respect of which the mark has been or is used and is assigned
……………………………..	………………………………………….

The date of assignment was the…………….    day of……… 19…….
All communications relating to this         application may be sent to the following address in India.
..............................
............................
 Dated this…………day of…….19…….
8 ...................
To
The Registrar of Trade Marks,
The Office of the Trade Marks Registry at9
1. Insert the time and address of the assignee (applicant.)
2. Insert “one”, “two”, or “three”.
3. Strike out words not applicable.
4. Insert the name and address of the proprietor (assignor).
5. Strike out words in applicable.
6. Insert the name and address of proprietor (assignor).
7. Additional marks and registration numbers which cannot be accommodated here, may be given in a signed schedule on the back of the Form.
8. Signature of applicant or of his agent.
9. State the name of the place of the appropriate office of the Trade Marks Registry-See rule 4.