8/17/2019 Request of Renewal of Registration 11112015

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  Intellectual Property Office of thePhilippines

Document No.IPOPHL-SOP-BOT-01-F04

Bureau of Trademarks Rev. No. 01

REQUEST FOR RENEWAL OF TRADEMARKREGISTRATION FORM

(Optional Form) 

Issued by:BOT

Date:11/11/2015

Mark : _______________________Registration No. : _______________________Date of Registration : _______________________Date of Filing (Original Application) : _______________________Class No./Nos. : _______________________

TO THE DIRECTOR:

I, _____________________________________________________________________(Name of registrant/person authorized to sign)

 ____________________________________________________________________________(Address)

a citizen/corporation of _________________________________________________________request that the above-identified registration be renewed in accordance with the provision ofRepublic Act No. 8293.

Pursuant to the Trademark Regulations, the registrant confirms the following:

a) All goods or services listed in the above-identified certificate of registration arerequested to be renewed.  Yes ______ No ________. (If no, please enumerate the goods or

services for which the renewal is not requested. Attach additional sheet/s, if necessary.) 

Nice Classification Description of Goods

b) There is no material variation in the manner of the display of the mark.  Yes ______No _______ (If no, please enclose five (5) sets of the new labels)

Registrant hereby appoints ________________________________________________(Name)

of __________________________________________________________________________(Complete Address)

as agent or as attorney to file this request, to transact business in the Intellectual PropertyOffice in connection therewith.

 _____________________________Signature