Form TM19

Trade Marks Registry

Application to Register A Change of Proprietor

Your Reference :
Give details of the Applications to be divded :
File Number: *
List of Selected File Numbers
Total Charge : $
Full Name of Current Registered Proprietor:
Full Name of New Proprietor:
Is the new Proprietor a corporate body ?
Corporation Country or State of Incorporation:
New Corporate Registration Number :
Old Corporate Registration Number :
Date of New Proprietor took over ownership:
Give the rights or Goods or service transfered:
Name Of Agent
Address of Agent Service in Jamaica
Is the agent or address for service above authorzed for :*
Signature of Registered Proprietor :
Status of Signatory :
Name [Block Capitals]
Date of Application:
Signature of New Proprietor:
Status of Signatory :
Name [Block Capitals]
Date of Application:
Name of DayTime Contact :
Telephone of DayTime Contact :
Charge for Service: $
State the Number of Sheets Uploaded for this notice: