Form TM5

Trade Marks Registry

Form for Counterstatement

Your Reference :
Give details of the Applications or Registrations to which this Counterstatement relates :
File Number: *
Choose Lowest Class *
Full Name of the Applicant or Registered Proprietor:
Opposition or Revocation Number:
Name of Agent :
Address for Service in Jamaica
Signature of Applicant:
Name [Block Capitals]
Date of Application:
Name of DayTime Contact :
Telephone of DayTime Contact :
Charge for Service: $