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FORM TMA- 1 THE TRADE MARKS ACT 1999 Fee Rs. 1 000 Application for registration as a Trade Marks Agent rule 153 To be filed in triplicate I beg to apply for registration as a trade marks agent under the Trade Marks Act 1999. 1 A certificate of character from*. is enclosed herewith. I hereby declare t hat I am not subj ect t o any of t he disabilit ies st at ed in clauses i ii iii iv v and vi of rule 151 of t he Trade Marks Rules 2001 and t hat t he inform at ion given below is t rue t o the best of my knowledge and belief* 1. Name in full beginning with surname if any in capital letters. 2. Address of the place of residence. 3. Principal place of business. 4. Father s name. 5. Nationality. 6. Date and place of birth. 7. Occupation in full*. 8. Particulars of qualifications for registration as a trade marks agent2. 9. Whether at any time removed from the Register of Trade Marks Agents and if so the details thereof* Dated this. day of. 20. Signature To The Registrar of Trade Marks The Office of t he Tr a de M a r k s Re gist r y a t 3. 1. The certificate testifying to the character of the candidate should e from a person not related to the candidate and being a District Magistrate a Chief Presidency Magistrate or the Chief Administrative Officer of the District where the candidate usually resides or from any other person whom the Registrar may consider fit. 1. Copies of diplomas certificate or other documents duly attested by a Magistrate Notary Public must be sent with the application* Experience certificate may be enclosed* 2. 1 A certificate of character from*. is enclosed herewith. I hereby declare t hat I am not subj ect t o any of t he disabilit ies st at ed in clauses i ii iii iv v and vi of rule 151 of t he Trade Marks Rules 2001 and t hat t he inform at ion given below is t rue t o the best of my knowledge and belief* 1. Name in full beginning with surname if any in capital letters. 2. Address of the place of residence. Name in full beginning with surname if any in capital letters. 2. Address of the place of residence. 3. Principal place of business. 4. Father s name. 5. Nationality. 6. Date and place of birth. 7. Occupation in full*. 3. Principal place of business. 4. Father s name. 5. Nationality. 6. Date and place of birth. 7. Occupation in full*. 8. Particulars of qualifications for registration as a trade marks agent2. 9. Whether at any time removed from the Register of Trade Marks Agents and if so the details thereof* Dated this. 8. Particulars of qualifications for registration as a trade marks agent2. 9. Whether at any time removed from the Register of Trade Marks Agents and if so the details thereof* Dated this. day of. 20. Signature To The Registrar of Trade Marks The Office of t he Tr a de M a r k s Re gist r y a t 3. day of. 20. Signature To The Registrar of Trade Marks The Office of t he Tr a de M a r k s Re gist r y a t 3. 1. The certificate testifying to the character of the candidate should e from a person not related to the candidate and being a District Magistrate a Chief Presidency Magistrate or the Chief Administrative Officer of the District where the candidate usually resides or from any other person whom the Registrar may consider fit.