Withdrawal of application form for trademark registration application

Applicant Name:

Applicant's address:

Postal code:

Contact:

phone:

fax:

Agency name:

Trademark name:

category:

Original application number:

Original application date:

Withdrawal of goods/services:

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. If the trademark is withdrawn, it must be submitted by the representative and deemed to have been authorized by other co-owners.

3. Withdraw some of the goods and fill in the “Retraction of Goods/Services” column. All withdrawals are not required.