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Preliminary Trademark & Servicemark Data Sheet
Type of Mark:
Word only
Logo (Word and Design)
Label
Slogan
Others
Name of Mark:
Applicant & entity name:
Entity’s incorporation information:
Proprietorship
Partnership
Pvt Ltd
Individual
Others
Business address of applicant:
Description of entity’s activity :
Service Provider
Manufacturers
Importer
Exporters
Others
Telephone:
Fax:
Email Address:
Website URL:
Name and title of authorized signatory:
If Partnership, Name and addresses of partners
Is the Mark
1. A proper name
Yes
No
2. A geographical location
Yes
No
3. A foreign word or symbol
Yes
No
Has the mark been used more than five years:
Yes
No
Date of first use:
Scope of Trademark. Describe goods/ services:
Age, father’s/ husband’s name and residential address of signatory :