Registrant death/termination of cancellation of trademark application

Applicant Name:

Applicant's address:

Postal code:

Contact:

phone:

fax:

Agency name:

Trademark name:

Trademark registration number:

category:

Registrant Name:

Reason for cancellation:

Applicant Chapter Stamp: Agency Organization Stamp:

Agent signature:

Note:

1. If you do not entrust an agent, you do not need to fill in the agency project.

2. Madrid International Registered Trademarks shall be marked with the letter "G" before the registration number.

3. The trademark is cancelled, and the name of the representative is filled in the "Name of the registrant" column.

Registrant death/termination of cancellation of trademark application

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