Official number Representation of trade mark Name of applicant Class (Schedule ) Signature of applicant or authorised agent Trade Marks Form SM 3 SOUTH-WEST AFRICA TRADE MARKS IN SOUTH-WEST AFRICA ACT, 1973 REQUEST FOR STATEMENT OF GROUNDS OF DECISION [Regulation 73 (1) (a)] Revenue stamp, R10 Official datestamp You are hereby requested under regulation 73 (1) (a) to state in writing the grounds of your decision, dated the day of 19 , in respect of Trade Mark No and the data used by you in arriving thereat. Address for service Signature of applicant or authorised agent Dated this day of 19 To: The Registrar Trade Marks Office for South-West Africa Trade Marks Form SM 4 SOUTH-WEST AFRICA TRADE MARKS IN SOUTH-WEST AFRICA ACT, 1973 REQUEST FOR ADVERTISEMENT (Sections 8 and 21, regulations 9 and 22} Revenue stamp, R5 Official datestamp I/We
Official number Representation of trade mark Name of applicant Class (Schedule ) Signature of applicant or authorised agent Trade Marks Form SM 3 SOUTH-WEST AFRICA TRADE MARKS IN SOUTH-WEST AFRICA ACT, 1973 REQUEST FOR STATEMENT OF GROUNDS OF DECISION [Regulation 73 (1) (a)] Revenue stamp, R10 Official datestamp You are hereby requested under regulation 73 (1) (a) to state in writing the grounds of your decision, dated the day of 19 , in respect of Trade Mark No and the data used by you in arriving thereat. Address for service Signature of applicant or authorised agent Dated this day of 19 To: The Registrar Trade Marks Office for South-West Africa Trade Marks Form SM 4 SOUTH-WEST AFRICA TRADE MARKS IN SOUTH-WEST AFRICA ACT, 1973 REQUEST FOR ADVERTISEMENT (Sections 8 and 21, regulations 9 and 22} Revenue stamp, R5 Official datestamp I/We