FORM TM-19

Fee: See entry No. 20 of

the First Schedule

Application for the approval by the Registrar under rule 61 read with section 69(3)
(b) of a proposed assignment, or of a transmission of a Trade Mark resulting in
exclusive rights
in different persons for different parts of Pakistan.
(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 MATTER OF Trade Mark(s) ______________(a) Registered under

No.(s) ___________________ in Class(es) ________________________
Application is hereby made by____________________________________
'(1 )(b)___________________________the Proprietor of the trade mark(s)
shown in the accompanying Statement of case (c) [registered in his name] and (c) [used by him]
in respect of' the following goods __________________________ to be sold or
otherwise traded in (e)______________________ (f) [and to (d)
_________________________in respect of all the following goods
________________________ to be sold or otherwise traded in (e) _______________ in
circumstances that are stated fully in the accompanying Statement of Case.

'(2)(g) ________________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 the (h) _________________ day of _______
20°- transmitted to (him) (i) _____________________who was his predecessor in
title, by or from (j)________________________by whom the Trade Mark was then
used in respect of the following goods namely_________________________all in
circumstances that are stated fully in accompanying statement of case for the approval by the
Registrar of the aforesaid transmission.

Dated this ___________ day of ___________20 ______.

Signature (k) __________________ __________________________________

Name of signatory in block letters

To,
The Registrar of Trade Marks,
Trade Marks Registry,
Karachi.
'Strike out either paragraph (1) or paragraph (2).
(a) To be struck out in the case of unregistered trademarks.
(b) Insert the name and trade or business address of the proprietor.
(c) Strike out either if not applicable.
(d) Insert the name(s) and trade or business address(esj of the proposed
assignee(s).

(e) Insert the name(s) of the placets) in Pakistan.

(f) Strike out the bracketed passage if not required.
(g) Insert the name and trade or business address of the person who claims
a transmission to him.
(h) Insert the date of the transmission, which must not precede the date of commencement of
the Ordinance.
(i) Insert the name and trade or business address of the predecessor in title, if any.
(j) Insert name and trade or business address of the person who transmitted.
(k) Signature of applicant.