This document is a trademark registration request form for G B Legal Associates. It requests applying for registration under the Trade Mark Act and collects applicant information such as name, address, phone number, email, word mark or logo to be registered, date the brand/mark/logo has been used from, trademark class, and a description of goods and services within 500 characters. The applicant agrees that the trademark application is subject to opposition and may be refused, in which case the applicant is solely responsible for costs and consequences.

1. G B LEGAL ASSOCIATES
TRADEMARK REQUEST FORM
The undersigned requests you to kindly apply for the registration under the Trade Mark Act as per
the details enclosed below:
1. Name of the Applicant(s):
(Name of Proprietor/All
Partners/Any one of the Director)
2. Nationality:
3. Name of the
Business /Company
4. Business Entity
(Tick Any One)
Proprietorship Partnership Pvt Ltd Society Trust
5. Full Business Address with
Pin Code:
6. Business Type
(Tick one or More) Manufacturer Trader Service Provider
7. Designation of the
Applicant:
(Director/Proprietor/Partner etc.) Director Proprietor Partner if other specify
8. Phone Number/Mobile number:
9. Email Id :
10. Word Mark in Text:
(In case of LOGO please enclose a
soft copy or Hard copy)
Word Mark :
Logo:
11. Date from which
Brand/Mark/ Logo is used:
(DD/MM/YYYY)
12. Trademark Class:
(if not known please leave the
column blank)
13. Description of Goods &
Services:
(Details of your goods & Services is
required within 500 characters)
I hereby confirm & agree that trademark application is subject to opposition/objection and may be
refused by competent authority and in such case I shall be solely responsible for cost &
consequences and will not claim anything thereafter :

2. Date : Signature of Applicant :
Place : Seal