Online JIPO Site

1. Your Reference :

2. Give details of the Applications or Registrations this will affect:

(*) File Number: *

Licensee Number:

3. Full Name of Proprieor or Licensee or Opponent (*)

4. I, the applicant, proprietor, license or opponent herein (indicate as appropriate) hereby notify JIPO that the person/law firm and or address indicated below is:
(a) my agent and address for service or:
(b) my address for service: or
(c) my agent:
(indicate(a),(b)or (c) as appropriate)(*)

5. Is the Agent or Address for Service authorised for:

(a) all actions; or

(b) one action only

(indicate (a) or (b) and if (b) Provide details.

6. (*) Select New Name or Address to be Recorded:

Name of the Agent (*)

Address of the Agent (*)

I hereby declare that the information given on this form is accurate and represents my true identity.

Please choose either to upload a signed TM3 or your Signature

Upload Signed TM3 Form

Upload Your Signature

Name [Block Capitals]

Date of Application:

Email of Contact Person (*)

Name of Contact Person

Telephone of Contact Person :

Charge for Service: $

Form TM3

Trade Marks Registry

Request to Appoint or Change an Agent or Enter or Change an Address for Service