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Designation Subsequent To The International Registration MM4(E) - Official Federal Forms
| Designation Subsequent To The International Registration Form. This is a national form and can be used in Madrid System World Intellectual Property Organization . |
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MM4(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS DESIGNATION SUBSEQUENT TO THE INTERNATIONAL REGISTRATION (Rule 24 of the Common Regulations) IMPORTANT 1. This subsequent designation must be presented to the International Bureau: (a) through the Office of the Contracting Party of the holder where any Contracting Party is designated under the Madrid Agreement; (b) in all other cases, either directly by the holder or by the Office of the Contracting Party of the holder. 2. The period of protection of a subsequent designation expires on the same date as the international registration to which it relates. World Intellectual Property Organization 34, chemin des Colombettes 1211 Geneva 20, Switzerland Tel. (Switchboard): +41 (0)22 338 9111 Fax (Madrid Registry): +41 (0)22 740 1429 e-mail: intreg.mail@wipo.int Internet: http://www.wipo.int MM4(E) February 2013 American LegalNet, Inc. www.FormsWorkFlow.com MM4(E) DESIGNATION SUBSEQUENT TO THE INTERNATIONAL REGISTRATION For use by the holder For use by the holder/Office This subsequent designation includes the following number of: continuation sheet(s): Holder's reference: MM17 form(s): Office's reference: 1 INTERNATIONAL REGISTRATION NUMBER 2 HOLDER OF THE INTERNATIONAL REGISTRATION (as recorded in the International Register) Name: Address: E-mail address: Please check this box if you wish to receive electronic communication. By checking this box: (i) any further correspondence from the International Bureau related to this international application and its resulting international registration will be sent only electronically; likewise, (ii) any further correspondence from the International Bureau related to other international applications or international registrations for which the same e-mail address has been provided will be sent only electronically. Please note that, for the purpose of electronic communication, there can be only one e-mail address recorded per each international application. 3 APPOINTMENT OF A REPRESENTATIVE (do not complete this item if there is no change in the representative already recorded in the International Register) Name: Address: Telephone: Fax: E-mail address: Please check this box if you wish to receive electronic communication. By checking this box: (i) any further correspondence from the International Bureau related to this international application and its resulting international registration will be sent only electronically; likewise, (ii) any further correspondence from the International Bureau related to other international applications or international registrations for which the same e-mail address has been provided will be sent only electronically. Please note that, for the purpose of electronic communication, there can be only one e-mail address recorded per each international application. SIGNATURE OF THE HOLDER APPOINTING THE ABOVE (NEW) REPRESENTATIVE MM4(E) February 2013 American LegalNet, Inc. www.FormsWorkFlow.com MM4(E), page 2 4 CONTRACTING PARTIES DESIGNATED SUBSEQUENTLY (Information concerning national or regional procedures for each Contracting Party designated may be found at the following website: http://www.wipo.int/madrid/en/members/ipoffices_info.html. Additional information may be found in the information notices available at: http://www.wipo.int/madrid/en/notices/) Check the corresponding boxes: AG AL AM AT AU AZ BA BG BH BQ BT BW BX BY CH CN CO CU CW CY CZ DE DK Others: 1 Antigua and Barbuda Albania Armenia Austria Australia Azerbaijan Bosnia and Herzegovina Bulgaria Bahrain Bonaire, Saint Eustatius and Saba5 Bhutan Botswana Benelux Belarus Switzerland China Colombia Cuba4 Curaçao5 Cyprus Czech Republic Germany Denmark DZ EE EG EM ES FI FR GB GE GH GR HR HU IE IL IR IS IT JP KE KG KP Algeria Estonia Egypt European Union1 Spain Finland France United Kingdom2 Georgia Ghana4 Greece Croatia Hungary Ireland2 Israel Iran (Islamic Republic of) Iceland Italy Japan4 Kenya Kyrgyzstan Democratic People's Republic of Korea KR Republic of Korea KZ Kazakhstan LI Liechtenstein LR Liberia LS Lesotho LT Lithuania LV Latvia MA Morocco MC Monaco MD Republic of Moldova ME Montenegro MG Madagascar MK The former Yugoslav Rep. of Macedonia MN Mongolia MX Mexico MZ Mozambique NA Namibia NO Norway NZ New Zealand2 OM Oman PH Philippines PL Poland PT Portugal RO RS RU SD SE SG SI SK SL SM ST SX SY SZ TJ TM TR UA US Romania Serbia Russian Federation Sudan Sweden Singapore2 Slovenia Slovakia Sierra Leone San Marino Sao Tome and Principe Sint Maarten5 Syrian Arab Republic Swaziland Tajikistan Turkmenistan Turkey Ukraine United States of America3 UZ Uzbekistan VN Viet Nam ZM Zambia If the European Union is designated, it is compulsory to indicate a second language before the Office of the European Union. The second language must be chosen from among the following five languages, but may not be the language of the international application from which the international registration indicated in item 1 resulted, regardless of the language of the present subsequent designation. Thus, for example, if the international application was filed in French and this subsequent designation is in English, French may not be selected as the second language (check one box only): French German Italian Spanish Moreover, if the holder wishes to claim the seniority of an earlier mark registered in, or for, a Member State of the European Union, the official form MM17 must be annexed to the present subsequent designation. 2 By designating Ireland, New Zealand, Singapore or the United Kingdom, the holder declares that he has the intention that the mark will be used by him or with his consent in that country in connection with the goods and services identified in the present subsequent designation. If the United States of America is designated, it is compulsory to annex to the present subsequent designation the official form (MM18) containing the declaration of intention to use the mark required by this Contracting Party. Item 6(a) of the present form should also be completed. Cuba, Ghana and Japan have made a notification under Rule 34(3)(a) of the Common Regulations. Their respective individual fees are payable in two parts. Therefore, if Cuba, Ghana or Japan is designated, only the first part of the applicable individual fee is payable at the time of filing the present international application. The second part will have to be paid only if the Office of the Contracting Party c
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