‫) اﺳﺘﻤﺎرة رﻗﻢ 2 ﻋﻼﻣﺎت ﺗﺠﺎرﻳﺔ(‬                                                                        ‫وزارة اﻟﺘﺠﺎرة و اﻟﺼﻨﺎﻋﺔ‬
                                                                                                                 ‫ﻣﺼﻠﺤﺔ اﻟﺘﺴﺠﻴﻞ اﻟﺘﺠﺎرى‬
   ‫05 ﺟﻨﻴﺔ رﺳﻢ ﻃﻠﺐ ﺗﺴﺠﻴﻞ‬                                                                                          ‫ادارﻩ اﻟﻌﻼﻣﺎت اﻟﺘﺠﺎرﻳﻪ‬
           ‫ﻣﺮﻓﻘﺎت‬     ‫......‬                                                                                     ‫==========‬

                                            ‫) ﻃﻠﺐ ﺗﺴﺠﻴﻞ ﻋﻼﻣﺔ ﺗﺠﺎرﻳﺔ (‬
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                                                             ‫اﻟﻌﻼﻣﺔ‬
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  ‫ﺗﻮﺿﻊ اﻟﻌﻼﻣﺔ ﻓﻰ اﻟﻔﺮاغ واذا ﻟﻢ ﻳﺘﺴﻊ ﻟﺬﻟﻚ ﻳﻌﻤﻞ اﻟﺮﺳﻢ ﻋﻠﻰ ﻗﻤﺎش ﻣﻦ اﻟﻜﺘﺎن )ﻗﻤﺎش رﺳﻢ ( ﻳﻠﺼﻖ ﺟﺰء ﻣﻨﻪ ﺑﺎﻟﻔﺮاغ‬
 ‫وﻳﻄﻮى اﻟﺠﺰء اﻟﺒﺎﻗﻰ وﻳﺠﺐ ان ﻳﻜﻮن اﻟﺮﺳﻢ ﺑﻠﻮن ﺛﺎﺑﺖ وان ﻳﻜﻮن دﻗﻴﻘﺎ ﺑﺤﻴﺚ ﺗﻈﻬﺮ ﺑﻪ ﺟﻤﻴﻊ اﺟﺰاء اﻟﻌﻼﻣﺔ ...........‬
                         ‫))واذا آﺎﻧﺖ اﻟﻌﻼﻣﺔ ﺑﻬﺎ رﺳﻢ ﻏﻴﺮ واﺿﺢ ﻳﺮﺟﻰ وﺻﻔﻪ ﺑﺪﻗﺔ ((‬
   ‫)1( اﺳﻢ وﻟﻘﺐ ﻃﺎﻟﺐ اﻟﺘﺴﺠﻴﻞ وﻣﻬﻨﺘﺔ وﺟﻨﺴﻴﺘﺔ وﻣﺤﻞ اﻗﺎﻣﺘﺔ .........................................................................‬

   ‫وان آﺎن اﻟﻄﺎﻟﺐ ﺷﺮآﺔ ﻓﻴﺬآﺮ اﺳﻤﻬﺎ وﻋﻨﻮاﻧﻬﺎ وﻧﻮﻋﻬﺎ ................................................................................‬

   ‫واﻟﻐﺮض ﻣﻦ ﺗﺄﻟﻴﻔﻬﺎ وﻣﺮآﺰهﺎ اﻟﻌﺎم .....................................................................................................‬

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                                                                                   ‫)2( اﻟﺒﻀﺎﺋﻊ واﻟﻤﻨﺘﺠﺎت اﻟﻤﻄﻠﻮب ﺗﺴﺠﻴﻞ اﻟﻌﻼﻣﺔ ﻋﻨﻬﺎ.‬

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                          ‫.......................................................................................... اﻟﻔﺌﺔ رﻗﻢ ......................‬

‫)3( اﻟﺠﻬﻪ اﻟﺘﻰ ﻳﻮﺟﺪ ﺑﻬﺎ اﻟﻤﺤﻞ اﻟﺘﺠﺎرى أو ﻣﺸﺮوع اﻻﺳﺘﻐﻼل اﻟﺬى ﺗﺴﺘﺨﺪم اﻟﻌﻼﻣﺔ – او ﻻ ﺗﺴﺘﺨﺪم – ﻓﻰ ﺗﻤﻴﻴﺰ ﺑﻀﺎﺋﻌﺔ او‬
                                                                                                                                              ‫ﻣﻨﺘﺠﺎﺗﺔ‬
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                                 ‫)4( اﻟﻤﺤﻞ اﻟﻤﺨﺘﺎر ﺑﻤﺼﺮ اﻟﺬى ﺗﺮﺳﻞ اﻟﻴﻪ اﻟﻤﻜﺎﺗﺒﺎت واﻟﻤﺴﺘﻨﺪات اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﺴﺠﻞ .................‬

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                                                                                 ‫رﻗﻢ ﺗﻠﻴﻔﻮن اﻟﻌﻤﻴﻞ ...............................................‬

                                                                                ‫اﻟﺒﺮﻳﺪ اﻷﻟﻜﺘﺮوﻧﻰ ................................................‬

                                                                                                      ‫اﻟﺴﻴﺪ / رﺋﻴﺲ ﻣﺼﻠﺤﺔ اﻟﺘﺴﺠﻴﻞ اﻟﺘﺠﺎرى‬

                                                                                                                                ‫اﻧﺎ اﻟﻤﻮﻗﻊ ﻋﻠﻰ هﺬا‬
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                                                                                                                                              ‫ﺑﺼﻔﺘﻰ‬
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                                   ‫اﻃﻠﺐ ﺗﺴﺠﻴﻞ اﻟﻌﻼﻣﺔ اﻟﻤﺮﺳﻮﻣﺔ ﻓﻰ هﺬا اﻟﻄﻠﺐ ﺑﺎﻟﺒﻴﺎﻧﺎت اﻟﻤﻮﺿﺤﺔ أﻋﻼة ..........................‬

                                                                                                     ‫وﻣﺮﻓﻖ ﻣﻊ هﺬا أرﺑﻊ ﺻﻮر ﻟﻠﻌﻼﻣﺔ ,,,,,,‬

                                                                                                           ‫ﺗﺤﺮﻳﺮﺁ ﻓﻰ ......./......../ .....002‬

                             ‫اﻟﺘﻮﻗﻴﻊ‬

علامه تجاريه

  • 1.
    ‫) اﺳﺘﻤﺎرة رﻗﻢ2 ﻋﻼﻣﺎت ﺗﺠﺎرﻳﺔ(‬ ‫وزارة اﻟﺘﺠﺎرة و اﻟﺼﻨﺎﻋﺔ‬ ‫ﻣﺼﻠﺤﺔ اﻟﺘﺴﺠﻴﻞ اﻟﺘﺠﺎرى‬ ‫05 ﺟﻨﻴﺔ رﺳﻢ ﻃﻠﺐ ﺗﺴﺠﻴﻞ‬ ‫ادارﻩ اﻟﻌﻼﻣﺎت اﻟﺘﺠﺎرﻳﻪ‬ ‫ﻣﺮﻓﻘﺎت‬ ‫......‬ ‫==========‬ ‫) ﻃﻠﺐ ﺗﺴﺠﻴﻞ ﻋﻼﻣﺔ ﺗﺠﺎرﻳﺔ (‬ ‫=====‬ ‫اﻟﻌﻼﻣﺔ‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫....................................................................................................................................‬ ‫ﺗﻮﺿﻊ اﻟﻌﻼﻣﺔ ﻓﻰ اﻟﻔﺮاغ واذا ﻟﻢ ﻳﺘﺴﻊ ﻟﺬﻟﻚ ﻳﻌﻤﻞ اﻟﺮﺳﻢ ﻋﻠﻰ ﻗﻤﺎش ﻣﻦ اﻟﻜﺘﺎن )ﻗﻤﺎش رﺳﻢ ( ﻳﻠﺼﻖ ﺟﺰء ﻣﻨﻪ ﺑﺎﻟﻔﺮاغ‬ ‫وﻳﻄﻮى اﻟﺠﺰء اﻟﺒﺎﻗﻰ وﻳﺠﺐ ان ﻳﻜﻮن اﻟﺮﺳﻢ ﺑﻠﻮن ﺛﺎﺑﺖ وان ﻳﻜﻮن دﻗﻴﻘﺎ ﺑﺤﻴﺚ ﺗﻈﻬﺮ ﺑﻪ ﺟﻤﻴﻊ اﺟﺰاء اﻟﻌﻼﻣﺔ ...........‬ ‫))واذا آﺎﻧﺖ اﻟﻌﻼﻣﺔ ﺑﻬﺎ رﺳﻢ ﻏﻴﺮ واﺿﺢ ﻳﺮﺟﻰ وﺻﻔﻪ ﺑﺪﻗﺔ ((‬ ‫)1( اﺳﻢ وﻟﻘﺐ ﻃﺎﻟﺐ اﻟﺘﺴﺠﻴﻞ وﻣﻬﻨﺘﺔ وﺟﻨﺴﻴﺘﺔ وﻣﺤﻞ اﻗﺎﻣﺘﺔ .........................................................................‬ ‫وان آﺎن اﻟﻄﺎﻟﺐ ﺷﺮآﺔ ﻓﻴﺬآﺮ اﺳﻤﻬﺎ وﻋﻨﻮاﻧﻬﺎ وﻧﻮﻋﻬﺎ ................................................................................‬ ‫واﻟﻐﺮض ﻣﻦ ﺗﺄﻟﻴﻔﻬﺎ وﻣﺮآﺰهﺎ اﻟﻌﺎم .....................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫)2( اﻟﺒﻀﺎﺋﻊ واﻟﻤﻨﺘﺠﺎت اﻟﻤﻄﻠﻮب ﺗﺴﺠﻴﻞ اﻟﻌﻼﻣﺔ ﻋﻨﻬﺎ.‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫......................................................................................................................................................‬
  • 2.
    ‫.......................................................................................................................................................‬ ‫.......................................................................................... اﻟﻔﺌﺔ رﻗﻢ ......................‬ ‫)3( اﻟﺠﻬﻪ اﻟﺘﻰ ﻳﻮﺟﺪ ﺑﻬﺎ اﻟﻤﺤﻞ اﻟﺘﺠﺎرى أو ﻣﺸﺮوع اﻻﺳﺘﻐﻼل اﻟﺬى ﺗﺴﺘﺨﺪم اﻟﻌﻼﻣﺔ – او ﻻ ﺗﺴﺘﺨﺪم – ﻓﻰ ﺗﻤﻴﻴﺰ ﺑﻀﺎﺋﻌﺔ او‬ ‫ﻣﻨﺘﺠﺎﺗﺔ‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫........................................................................‬ ‫)4( اﻟﻤﺤﻞ اﻟﻤﺨﺘﺎر ﺑﻤﺼﺮ اﻟﺬى ﺗﺮﺳﻞ اﻟﻴﻪ اﻟﻤﻜﺎﺗﺒﺎت واﻟﻤﺴﺘﻨﺪات اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﺴﺠﻞ .................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫رﻗﻢ ﺗﻠﻴﻔﻮن اﻟﻌﻤﻴﻞ ...............................................‬ ‫اﻟﺒﺮﻳﺪ اﻷﻟﻜﺘﺮوﻧﻰ ................................................‬ ‫اﻟﺴﻴﺪ / رﺋﻴﺲ ﻣﺼﻠﺤﺔ اﻟﺘﺴﺠﻴﻞ اﻟﺘﺠﺎرى‬ ‫اﻧﺎ اﻟﻤﻮﻗﻊ ﻋﻠﻰ هﺬا‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫........................................................................................‬ ‫ﺑﺼﻔﺘﻰ‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.......................................................................................................................................................‬ ‫.........................................................................................................................................‬ ‫اﻃﻠﺐ ﺗﺴﺠﻴﻞ اﻟﻌﻼﻣﺔ اﻟﻤﺮﺳﻮﻣﺔ ﻓﻰ هﺬا اﻟﻄﻠﺐ ﺑﺎﻟﺒﻴﺎﻧﺎت اﻟﻤﻮﺿﺤﺔ أﻋﻼة ..........................‬ ‫وﻣﺮﻓﻖ ﻣﻊ هﺬا أرﺑﻊ ﺻﻮر ﻟﻠﻌﻼﻣﺔ ,,,,,,‬ ‫ﺗﺤﺮﻳﺮﺁ ﻓﻰ ......./......../ .....002‬ ‫اﻟﺘﻮﻗﻴﻊ‬