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Registered Designs Forms & Fees (The following has been superseded wef 1 April 2017. Please refer to IPOS website for the latest Forms and Fees.)

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Page 1: Registered Designs Forms & Fees - ipos.gov.sg · Registered Designs Forms & Fees (The following has been superseded wef 1 April 2017. Please refer to IPOS website for the latest Forms

Registered Designs Forms & Fees

(The following has been superseded wef 1 April 2017. Please refer to IPOS website for the latest

Forms and Fees.)

Page 2: Registered Designs Forms & Fees - ipos.gov.sg · Registered Designs Forms & Fees (The following has been superseded wef 1 April 2017. Please refer to IPOS website for the latest Forms

S/N Description of Form Form Fee (S$)

1. Request to change name, address or address for service or entry of

address for service.

CM2

(Only e-

filing

available)

13.00

2. Request to appoint, change or remove agent. CM1 8.50 in

respect of

each design

number

3. Application for registration of a design under Section 11 of the Act

Request for deferment of publication.

D3 250.00 in

respect of

each design

40.00 in

respect of

each request

4. Request for withdrawal of application CM9 NA

5. Application to amend an application for registration of a design

under Section 15 of the Act

D5 45.00 in

respect of

each design

number

6. Request for reinstatement of application, right or thing CM13 100.00 in

respect of

each design

number

7. Request for online file inspection CM10

(Only e-

filing

available)

30.00 in

respect of

each design

number

8. Request for certified copy of an entry in the Register or certified

extract from the Register

a) where the certified copy or extract or document is in soft copy

b) where the certified copy or extract or document is in hard copy

CM12 28.00 in

respect of

each design

number

35.00 in

respect of

each design

number

9. Request for correction of error CM4 50.00

10. Application for extension of period of registration of a design under

Section 21 of the Act and paragraph 3(6) of the Schedule to the Act -

D8

Page 3: Registered Designs Forms & Fees - ipos.gov.sg · Registered Designs Forms & Fees (The following has been superseded wef 1 April 2017. Please refer to IPOS website for the latest Forms

a) for the first period of 5 years

b) for the second period of 5 years

c) for the third period of 5 years

d) for the fourth period of 5 years

220.00

330.00

440.00

550.00

11. Application for restoration of registration of a design removed from

the Register under section 21(6) of the Act

D8 135.00 in

respect of

each

registration

12. Late application to extend period of registration of a design under

Section 21(5) of, or paragraph 3(6) of the Schedule to, the Act

NA 50.00 in

respect of

each

registration

in addition

to fee under

item No. 10

13. Application to register the grant, amendment or termination of a

licence

Application to register the grant, amendment or termination of any

security interest

CM6

CM7

60.00 in

respect of

each design

number

50.00 in

respect of

each design

number

14. Application to an assignment of a registered design or any right in it CM8 70.00 in

respect of

each design

number

15. Application to register the grant, amendment or termination of a

licence

Application to register the grant, amendment or termination of any

security interest

CM6

CM7

60.00 in

respect of

each design

number

50.00 in

respect of

each design

number

16. Request to surrender a registered design CM3 30.00 in

respect of

each design

number

17. Application for revocation of the registration of a design D13 400.00

Page 4: Registered Designs Forms & Fees - ipos.gov.sg · Registered Designs Forms & Fees (The following has been superseded wef 1 April 2017. Please refer to IPOS website for the latest Forms

18. Filing a counter-statement HC6 360.00

19. Notice of attendance at hearing HC1 715.00

20. Request for extension of time by a person or party regarding a

particular period prescribed by the Rules or specified by the

Registrar for doing any act or taking any proceedings in relation to

non-contentious proceedings

a) first and second extension of that period

b) third and subsequent extension of that period

Request for extension of time by a person or party regarding a

particular period prescribed by the Rules or specified by the

Registrar for doing any act or taking any proceedings in relation to

contentious proceedings

Request for an extension of time to file counter-statement

a) first extension of that period

b) second and subsequent extension of that period

CM5

HC3

NA

50.00 in

respect of

each design

number

NA

100.00

21. Filing of an order, declaration or certificate of the court with the

Registrar (other than in relation to an application referred to in Item

12 or 13)

NA Request to

be made in

writing

22. Request to extract the Registrar's certificate of taxation HC2 80.00

23. Request to the Registrar to state grounds of decision for hearing HC5 700.00

24. Request for ex parte hearing HC4 100.00

25.

For using the service of a service bureau to file any form and any

document, if any, accompanying the form, by means of the electronic

online system

NA 40.00 per

form plus

0.50 for each

page of the

document

accompanying

the form

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V1.20140214 Page 1 of 6

SINGAPORE REGISTERED DESIGNS ACT (CHAPTER 266) REGISTERED DESIGNS RULES

FORM D3 Application for Registration of Design

Pre-requisites: a. Please read the Guidelines to Completing Form D3 and Guidelines for Representations of Designs before filling up this

application form. b. Please ensure that there is a local address for correspondence purposes. c. If you are submitting multiple applications under Rule 22 (a), please note that fees are payable for each individual design. Estimated Time: This form may take approximately 10 - 12 minutes to complete. General a. * denotes mandatory field.

PART 1 Reference

Applicant/ Agent Reference

PART 2 International Registration Note : This part is only applicable if Division of International Registration is intended.

International Registration No.

International Application Date

(DD/MM/YYYY)

PART 3 Details of Applicant* Note : If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 14.)

Block/ House

No.

Street Name

Level - Unit -

Building Name

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V1.20140214 Page 2 of 6

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(If sole proprietorship or partnership)

Company Profile (for Singapore incorporated

businesses only.Please cross if applicable)

Small and Medium Enterprise1

1 Small and medium-sized enterprises in Singapore will be defined as businesses with annual sales turnover of not more than $100 million or employing no more than 200 staff.

PART 4 Multiple Application Note : This part is only applicable if you are submitting multiple applications under Rule 22(a).Please refer to pre-requisite (c).

No. of Designs in this Application

PART 5 Classification* Note : Refer to the Third Schedule of the Registered Designs Act for the classification. You may indicate more than one Class and Subclass below.

Class and Subclass*

PART 6 Article Details*

No. of Articles If the application is for a set of articles, enter the no. of articles in the set. There should be more than 1 article in a set.

Article Name* (For sets of article, please

name each article in the set. A set of articles refers to two or

more objects that share the same design.)

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V1.20140214 Page 3 of 6

PART 7 Applicant's Rights*

Applicant's Rights in respect to the Design*

(Cross one of the options)

Applicant is the designer

Applicant commissioned the design

By virtue of employment

By virtue of assignment

Others (Please Specify):

PART 8 Statement of Novelty* and Disclaimer

Statement of Novelty*:

(Statement describing the features of the design which

are new)

(Cross one of the options)

Disclaimer

(Statement disclaiming generic elements which should not be

claimed in the Design Application)

(You may cross more than one of the options)

Novelty resides in the __________________as ahown in the representation.

Shape and configuration;

Pattern and ornamentation;

Others. Please indicate the Statement of Novelty in less than 500 characters.

"No claim is made to any right to the exclusive use of ________ appearing in the design";

Letters Characters

Words Numerals

Symbols/ Units of Measure

Trademark elements

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V1.20140214 Page 4 of 6

The broken/ stippled lines are for illustrative purposes only and form no part of the claimed design.

The shaded portions are for illustrative purposes only and form no part of the claimed design.

Others (Please Specify)

PART 9 Priority Claim Note : State the country and the filing date of any previous application from which priority is claimed under section 12 or 13 of the Registered Designs Act (Cap. 266).

Country

Priority Date Claimed (DD/MM/YYYY)

PART 10 Associated Design Note : State the application/ registration number of any earlier design application/ registration for association under section 10 of the Registered Designs Act. If the earlier design was not made in the name indicated in Part 9, give details of the instrument (eg deed of assignment)which gives the applicant the right to apply for association.

Associated Design

PART 11 Disclosure Note: If the Design has been previously disclosed and you claim that Section 8 of the Registered Designs Act applies, please fill up the following section.

Disclosure

i) Identify the provisions of Section 8 of the Registered Designs Act on which you rely, by crossing the appropriate box;

Section 8(1)(a): Disclosure of the design by the owner to any other person in such circumstances as would make it contrary to good faith for that other person to use or publish the design.

Section 8(1)(b): Disclosure of the design in breach of good faith by any person other than the owner of the design.

Section 8(1)(c): In the case of a new or original textile design intended for registration, the acceptance of a first and confidential order of goods bearing the design.

Section 8(1)(d): The communication of the design by the owner to a Government department or the office or to any person authorised by a Government department.

Section 8(2): Disclosure at an official international exhibition.

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V1.20140214 Page 5 of 6

ii) Describe the circumstances of the disclosure/ name and place of exhibition:

iii) Date the design was disclosed/ opening date of exhibition (DD/MM/YYYY)

PART 12 Request for Deferment Note : When a design is registered it will be published in the next issue of the Designs Journal. If you do not wish to immediately have your design published upon registration you can request for a deferment of publication of 18 months from the date of filing. Please request and indicate "18" in the fields below:

Request for Deferment of Publication

(Please cross if there is a request to defer publication)

No. of Months Requested For

Deferment (calculated from date of filing)

PART 13 Representation of the Design*

Please provide representation of the design suitable for reproduction as an attachment on blank sheets of paper to this form. Only a maximum of 10 representations will be accepted and there should only be 1 view of the article in each representation. Please ensure that each representation is at least 3cm by 3cm and no larger than 13cm by 15cm when printed out. The first representation will be used as the Annex A in the Public Search and Publication.

Please refer to the Guidelines for Representations of Designs for more details on how to submit the representations.

PART 14 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

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V1.20140214 Page 6 of 6

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 15 Declaration*

Declaration

By Person Filing the Application

I, the undersigned, do hereby declare that :

i. I apply to register the design(s) shown in the representation.

ii. The applicant(s) is/are owner(s) of the design in relation to the article or set of articles specified above.

iii. The information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent, for the purposes of this application, on behalf of the person(s) filing this form.

ii. On behalf of the applicant(s), that the applicant(s) is/are owner(s) of the design in relation to the article or set of articles specified above and shown in the representation.

iii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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V1.20140214 Page 1 of 3

SINGAPORE REGISTERED DESIGNS ACT (CHAPTER 266) REGISTERED DESIGNS RULES

FORM D5 Request for Amendment of Application for Registration

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Design No.*

PART 3 Name of Applicant/ Registered Owner* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Amendment Details* Note

: If the amendment affects the images, please attach the new images on separate sheets.

Details of the Amendment

There can be no amendment made to increase the number of months requested for deferment of publication. To request for earlier publication after a deferment of publication has been requested, please write in to the Registry.

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V1.20140214 Page 2 of 3

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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V1.20140214 Page 3 of 3

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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V1.20140214 Page 1 of 3

SINGAPORE REGISTERED DESIGNS ACT (CHAPTER 266) REGISTERED DESIGNS RULES

FORM D8 Application for Extension of Period of Registration/ Application for Restoration of Registration Removed

from the Register

Pre-requisites: a. This form can be lodged to apply for the extension of period of registration of a design or for the restoration of registration

of a design removed from the register. b. The extension for the third and fourth periods of 5 years are only applicable to designs originally registered in the United

Kingdom and which have been extended in Singapore. Estimated Time: This form may take approximately 3 - 5 minutes to complete. General a. * denotes mandatory field.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Design No.*

PART 3 Name of Registered Owner* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Current Renewal Date*

State the Current Renewal Due Date

(DD/MM/YYYY)

PART 5 Period of Extension*

Please state the Period of Extension

(Cross one of the options)

1st period of extension

2nd period of extension

3rd period of extension

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V1.20140214 Page 2 of 3

4th period of extension

PART 6 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. For the purpose of renewal and/or restoration, the official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit -

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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V1.20140214 Page 3 of 3

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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V1.20140214 Page 1 of 3

SINGAPORE REGISTERED DESIGNS ACT (CHAPTER 266) REGISTERED DESIGNS RULES

FORM D8 Application for Extension of Period of Registration/ Application for Restoration of Registration Removed

from the Register

Pre-requisites: a. This form can be lodged to apply for the extension of period of registration of a design or for the restoration of registration

of a design removed from the register. b. The extension for the third and fourth periods of 5 years are only applicable to designs originally registered in the United

Kingdom and which have been extended in Singapore. Estimated Time: This form may take approximately 3 - 5 minutes to complete. General a. * denotes mandatory field.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Design No.*

PART 3 Name of Registered Owner* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Current Renewal Date*

State the Current Renewal Due Date

(DD/MM/YYYY)

PART 5 Period of Extension*

Please state the Period of Extension

(Cross one of the options)

1st period of extension

2nd period of extension

3rd period of extension

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V1.20140214 Page 2 of 3

4th period of extension

PART 6 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. For the purpose of renewal and/or restoration, the official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit -

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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V1.20140214 Page 3 of 3

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM1 Request to Appoint, Change or Remove Agent

Estimated Time: This form may take approximately 2 - 7 minutes to complete. General: a. * denotes mandatory fields. b. Where the request is made to appoint, change or discharge an agent, the fees payable is based on per IP application

number. c. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). d. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. e. Please e-file CM 2 if you are amending the name and/or Singapore Address for Service of Agent

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.* Note: a. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number. b. International Registration No. and International Application No. are applicable to Trade Marks only. c. All the numbers listed below must belong to the same applicant/proprietor indicated in Part 3 and of the same IP type (i.e.

Trade Marks, Designs or Patents only). Please use a separate form if otherwise. d. If there is insufficient space, please use the continuation sheet CS 3.

Application No./ International

Registration No./ International Application

No.*

PART 3 Person for whom an Agent is to be Appointed, Changed or Removed* Note: If there is insufficient space, please use the continuation sheet in CS 4.

(Note:Cross only one checkbox)

Applicant/ Proprietor Others

UEN/ Company Code (if applicable)

Name

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V1.20140214 Page 2 of 5

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Type of Request* Please cross the relevant box to indicate the type of request. Note that separate forms should be used for different requests

Type of Request* (Note:Cross only one checkbox) Request to appoint or change an agent.

(Please fill up Part 5, 8-10)

Request to remove an agent on record. (Please fill up Part 5-10)

PART 5 Matter on which the Agent or Address for Service is Authorised for Note: (i)For all matters on behalf of the Respondent for revocation, invalidation, rectification or opposition, please select <Others> (ii)** If registration/grant has been renewed at least once, this selection will not update the address for service on renewal matters. To update the address for service on renewal matters as well as the Master address for service, please select <Renewal and all matters relating to registration/ grant> option.

Matter on which the Agent or Address for

Service is Authorised for (Note:Cross only one

checkbox)

For all matters relating to the application, registration/ grant**, except those matters expressly excluded

Renewal and all matters relating to registration/ grant

Renewal

For all matters relating to the licence (Specify Licence Reference No.)

For all matters relating to the security interest (Specify Security Interest Reference No.)

For all matters on behalf of the Initiator for revocation, invalidation or rectification or opposition (Specify Case No.)

Form MM2(E) (for Trade Marks)

Other MM Forms except MM1, MM2, MM3, MM16, MM17 and MM18 (for Trade Marks)

Others (Please state the specific transaction)

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PART 6 Details of Agent on Record to be Removed Note: For removal of agent authorised for all matters, please complete Part 6A. For removal of agent authorised for other matters, please complete Part 6B.

PART 6A Agent Authorised for All Matters

UEN/ Company Code (if applicable)

Name

PART 6B Agent Authorised for Other Matters

UEN/ Company Code (if applicable)

Name

PART 7 New Address for Service* Note: a. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 8 Effective Date for Change Note: Any effective date entered must not be more than 1 month from the date of request. If no effective date is entered, the above changes will take effect immediately.

Effective Date for Change

(DD/MM/YYYY)

PART 9 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 10 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM3 Request to Surrender Registered Design Request to Surrender Patent

Request to Cancel or Partially Cancel Registered Mark Pre-requisites:a. If there is/are person(s) with interest in the intellectual property, please ensure that they have been notified of the intended surrender/cancellation three months prior to this form being filed, and they have no objection to the surrender/cancellation.

b. For Patents and Designs, if an action before the court is pending, full particulars of such action must be furnished in writing on an attached sheet.

This form may take approximately 2 - 7 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patents Application Number / Trade Marks Number.

Application No.*

Article Name (for Designs only)

Trade Marks Full Cancellation

(Please cross here)

For Trade Marks Partial Cancellation

Total No. of Class Affected by this

Cancellation

Note: For partial cancellation, please fill in details in Part 4 of this form.

PART 3 Name of Proprietor/ Registered Owner* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Partial Cancellation (For Trade Marks Partial Cancellation Only) Note: If there is insufficient space, please use the continuation sheet in CS 7.

Class No.of Cancellation of Class

Class No.of Cancellation of Specification(s) and

Goods/Services to Remain

Class No Goods/Service to Remain

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PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration by Proprietor/ Registered Owner Concerning Interested Parties*

Declaration by Proprietor/ Registered

Owner Concerning Interested Parties

(Note:

(i) Please select one of the following

Cross the appropriate checkbox or checkboxes.)

I/ We confirm that there are no interested parties in the intellectual property

I/ We confirm that those with an interest in the intellectual property have been notified of the intended surrender/cancellation three months prior to this form being filed, and they have no objection to the surrender/cancellation.

(ii) I/We declare that no action is pending before the Court for infringement or for revocation of the intellectual property.

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM4 Request for Correction of Error

a. Where the correction relates to specification of a patent or an application for a patent, the page(s) of specification with proposed correction is to be attached to this form for submission.

Pre-requisites:

b. To provide supporting document to justify the correction.

This form may take approximately 2 - 7 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. If you are not the agent on record for the form to be corrected, please file CM1. c. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). d. This form is not applicable to correct errors made in all hearings and mediation related matters and all WIPO forms. e. The fees payable is based on per form. f. If the correction relates to more than one application number, the correction must be the same for all the application

numbers. g. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. h. For Trade Marks, attention is drawn to rule 83A of the Trade Mark Rules. i. For Designs, attention is drawn to rules 33 and 65 of the Registered Designs Rules.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.* Note:a. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

b. International Registration No. and International Application No. are applicable to Trade Marks only. c. You may indicate more than one application number if the option "Correction of Form" in Part 5 is selected and that form

contained more than one application number. d. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 3. e. If there is insufficient space, please use the continuation sheet CS 3.

Application No./ International Application

No./ International Registration No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Correction Type*

Correction Type* (Note: Cross one checkbox

only) Correction of Form Lodged

Form No.

Form Lodgement Date (DD/MM/YYYY)

Correction of Register of Patents

Correction of Specification of a Patent or of an Application for a Patent

Correction of any other documents filed in connection with the Patent or an Application for a Patent

PART 6 Details of Correction* Note:For Patents, where the request for correction relates to a specification, please indicate the page number and the document of the replacement text/figure and the text/figure to be replaced. Please also explain why the correction sought is obvious in the sense that it is immediately evident that nothing else would have been intended than what is offered as the correction.

For Trade Marks, please state the affected class if the correction does not apply to all classes in the application.

Details of Correction*

For Correction of Specification of a Patent or of an Application for a Patent

Correction of Description with Claims

sheet(s)

Correction of Description without Claims

sheet(s)

Correction of Claims only

sheet(s)

Correction of Drawings sheet(s)

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PART 7 Reasons for Correction*

Reasons for Correction* (please provide supporting

documents, if applicable)

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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Page 1 of 5

SINGAPORE TRADE MARKS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 266)

TRADE MARKS RULES / REGISTERED DESIGNS RULES

FORM CM5 Request for Extension of Time

Estimated Time: This form may take approximately 5- 9 minutes to complete. General: a. * denotes mandatory field. b. Please note that there is a fee payable for the third and subsequent request for extension of time.

c. The third or subsequent request for extension of time is subjected to approval and there will be no refund for unutilised periods of extension.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference

PART 2 Application No.* Note:

a. Application number refers to Designs Number / Trade Marks Number. b. International Registration No. and International Application No. are applicable to Trade Marks only.

Application No./ International Application

No./ International Registration No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. Otherwise please ensure that this Part is also filled. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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Page 2 of 5

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Extension of Time in Relation To* Note: (i) In relation to Renewal/ Late Renewal/ Restoration of registration, the request for extension of time is strictly for responding to the Registrar’s queries or objections and not for seeking for time to lodge the form.

(ii) In relation to Reinstatement of rights, the request for extension of time is strictly for responding to Registrar’s objection pertaining to new conflicting mark and not for seeking more time to lodge the Reinstatement of Rights form.

Extension of Time in Relation to

(Note: Cross only one checkbox)

Examination

Transfer of Ownership

Amendment of application or registration (excluding change of name or address or mailing address)

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Page 3 of 5

Reinstatement of rights

Renewal or late renewal or restoration of registration

Registration/ Amendment/ Cancellation of Licence

Registration/ Amendment/ Cancellation of Security Interest

Cancellation of Registered Mark or Surrender of Designs

Others (Please state the specific transaction)

Deadline Given to Respond to Registrar

(DD/MM/YYYY)

PART 6 Nature of Request*

Nature of Request* (Note: Cross one checkbox

only. There will be no refund for unutilised periods of

extension.)

First/ Second Request for extension of time

Third or Subsequent Request for extension of time

PART 7 Reason for Extension of Time Sought (for Third or Subsequent Request only)

Reason for Request (Note: Please cross the

appropriate checkbox or checkboxes)

Obtaining the consent of the proprietor of a relevant earlier trade mark (for Trade Marks only)

Obtaining/ recording an assignment of a relevant earlier trade

mark (for Trade Marks only)

Disposing of invalidation or revocation proceedings which have been issued against an earlier trade mark (for Trade Marks only)

Executing a Statutory Declaration or compiling evidence of use to overcome Registrar's objections (for Trade Marks only)

Executing a worldwide agreement or in a negotiation with a third party (for Trade Marks only)

Others. Please state the reasons below: (Note: If there is insufficient space, please attach in a separate sheet)

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Page 4 of 5

PART 8 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please also file Form CM1 if you are a different agent on record or e-file Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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Page 5 of 5

PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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V1.20140214 Page 1 of 7

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM6 Application to Register, Amend or Terminate Licence

a. You will need the following information to complete the form: Pre-requisites:

i. Where the application relates to amendment/ termination of a licence, the licence reference no.. ii. Signature by licensor (or his representative if so authorised) or a copy of the documentary evidence establishing the

transaction.

This form may take approximately 4 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. This form may be used for a licence between the same parties relating to one or more IP application or registration

provided that the scope of the licence is the same. d. Trade Marks: This form is applicable for holders of International Registrations who wish to record, amend or terminate a

licence with IPOS. e. Fee for this form is payable on a per IP number basis f. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Transaction Type*

Transaction Type* (Note

: Cross one checkbox

only. Separate forms should be used for different transaction

type)

Registration (Please fill in only Parts 3 – 14)

Amendment (Please fill in only Parts 3 -4, 10 – 14)

Licence Reference No.

Termination (Please fill in only Parts 3-4, 10 – 14)

Licence Reference No.

PART 3 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 4. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

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V1.20140214 Page 2 of 7

PART 4 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Full or Partial Goods/ Services (for Trade Marks only)

Is the Licence to be Recorded against All

Goods and/ or Services Covered by the

Application and/ or Registration in Part 3?

X Yes No

If “No”, provide details of the trade mark no. , class no. and goods and/ or services the licence is to be recorded against at the Annex A. Note: The licence application may only be for goods/ services already covered in the trade mark application/registration, not for those falling outside.

PART 6 Details of Licensor* Note: If the licensor(s) is/are the applicant(s)/ proprietor(s) mentioned in part 4 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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V1.20140214 Page 3 of 7

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Details of Licensee* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 11.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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V1.20140214 Page 4 of 7

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 8 Licence Type* Note: Exclusive licence means a licence conferring on the licensee, to the exclusion of all other persons (including the licensor), any right in respect of the intellectual property.

Licence Type* (Note: Cross one box only)

Exclusive Licence

Non-exclusive Licence

PART 9 Licence Date*

Start Date (DD/MM/YYYY)

End Date (if any)

(DD/MM/YYYY)

PART 10 Details of Licence to be Registered, Amended or Terminated*

Details of Licence to be Registered, Amended or

Terminated* (e.g. details of the trade mark

no., class no. and goods/ services in the registration of a

Trade Mark licence)

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PART 11 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 7 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below is effective for all matters in respect of the licence, including this application to register,

amend or terminate a licence.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 12 Validation/ Supporting Documents*

Validation/ Supporting Documents*

(Note

: Cross only one checkbox)

This application is validated and signed by or on behalf of the licensor. (If this checkbox is selected, please fill in Part 13 of this form)

A copy of the documentary evidence establishing the transaction is attached.

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PART 13 Signature for Authorisation to Register/ Amend/ Terminate a Licence Note: Fill in this part only if first checkbox of Part 12 of this form is selected. Provide below the signature for the authorisation to register/ amend/ terminate a licence.

Name

Signature of Licensor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

PART 14 Declaration*

Declaration (** delete where necessary)

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above on behalf of the licensor/ licensee** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the licensor/licensee**

ii. The information furnished above on behalf of the licensor/licensee** is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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V1.20140214 Page 7 of 7

ANNEX A Partial Licence Only Note: If the space provided is insufficient, please continue on separate sheets.

All goods/ services claimed in the following trade mark no. and class

Trade Mark No.

Class No.

Trade Mark No.

Class No.

The following goods/ services only

Trade Mark No.

Class No.

Specification of Goods/ Services

Class No.

Specification of Goods/ Services

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V1.20140214 Page 1 of 7

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM6 Application to Register, Amend or Terminate Licence

a. You will need the following information to complete the form: Pre-requisites:

i. Where the application relates to amendment/ termination of a licence, the licence reference no.. ii. Signature by licensor (or his representative if so authorised) or a copy of the documentary evidence establishing the

transaction.

This form may take approximately 4 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. This form may be used for a licence between the same parties relating to one or more IP application or registration

provided that the scope of the licence is the same. d. Trade Marks: This form is applicable for holders of International Registrations who wish to record, amend or terminate a

licence with IPOS. e. Fee for this form is payable on a per IP number basis f. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Transaction Type*

Transaction Type* (Note

: Cross one checkbox

only. Separate forms should be used for different transaction

type)

Registration (Please fill in only Parts 3 – 14)

Amendment (Please fill in only Parts 3 -4, 10 – 14)

Licence Reference No.

Termination (Please fill in only Parts 3-4, 10 – 14)

Licence Reference No.

PART 3 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 4. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

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PART 4 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Full or Partial Goods/ Services (for Trade Marks only)

Is the Licence to be Recorded against All

Goods and/ or Services Covered by the

Application and/ or Registration in Part 3?

X Yes No

If “No”, provide details of the trade mark no. , class no. and goods and/ or services the licence is to be recorded against at the Annex A. Note: The licence application may only be for goods/ services already covered in the trade mark application/registration, not for those falling outside.

PART 6 Details of Licensor* Note: If the licensor(s) is/are the applicant(s)/ proprietor(s) mentioned in part 4 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Details of Licensee* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 11.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 8 Licence Type* Note: Exclusive licence means a licence conferring on the licensee, to the exclusion of all other persons (including the licensor), any right in respect of the intellectual property.

Licence Type* (Note: Cross one box only)

Exclusive Licence

Non-exclusive Licence

PART 9 Licence Date*

Start Date (DD/MM/YYYY)

End Date (if any)

(DD/MM/YYYY)

PART 10 Details of Licence to be Registered, Amended or Terminated*

Details of Licence to be Registered, Amended or

Terminated* (e.g. details of the trade mark

no., class no. and goods/ services in the registration of a

Trade Mark licence)

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PART 11 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 7 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below is effective for all matters in respect of the licence, including this application to register,

amend or terminate a licence.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 12 Validation/ Supporting Documents*

Validation/ Supporting Documents*

(Note

: Cross only one checkbox)

This application is validated and signed by or on behalf of the licensor. (If this checkbox is selected, please fill in Part 13 of this form)

A copy of the documentary evidence establishing the transaction is attached.

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PART 13 Signature for Authorisation to Register/ Amend/ Terminate a Licence Note: Fill in this part only if first checkbox of Part 12 of this form is selected. Provide below the signature for the authorisation to register/ amend/ terminate a licence.

Name

Signature of Licensor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

PART 14 Declaration*

Declaration (** delete where necessary)

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above on behalf of the licensor/ licensee** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the licensor/licensee**

ii. The information furnished above on behalf of the licensor/licensee** is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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ANNEX A Partial Licence Only Note: If the space provided is insufficient, please continue on separate sheets.

All goods/ services claimed in the following trade mark no. and class

Trade Mark No.

Class No.

Trade Mark No.

Class No.

The following goods/ services only

Trade Mark No.

Class No.

Specification of Goods/ Services

Class No.

Specification of Goods/ Services

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM7 Application to Register, Amend or Terminate Security Interest

a. You will need the following information to complete the form: Pre-requisites:

i. Where the application relates to amendment/ termination of a security interest, the security reference no.. ii. Signature by grantor (or their representative if so authorised) or a copy of the documentary evidence establishing the

transaction.

This form may take approximately 4 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. Trade Marks: This form is applicable for a holder of an International Registration (IR) who wishes to record, amend or

terminate a security interest with IPOS. In the event that the security interest extends beyond the IR designating Singapore and affects other countries designated in the IR, the holder may wish to lodge Form MM19(E) directly with WIPO to record it.

d. Fee for this form is payable on a per IP number basis. e. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Transaction Type*

Transaction Type* (Note

: Cross one checkbox

only. Separate forms should be used for different transaction

type)

Registration (Please fill in Parts 3 - 11)

Amendment (Please fill in Parts 3 - 4, 7 - 11)

Security Interest Reference No.

Termination (Please fill in Parts 3 - 4, 7 - 11)

Security Interest Reference No.

PART 3 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 4. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

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PART 4 Name of Applicant/ Proprietor* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Grantor* Note: If the grantor(s) is/are the applicant(s)/ proprietor(s) mentioned in part 4 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

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State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 6 Details of Grantee* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

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Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Details of Security Interest to be Registered, Amended or Terminated*

Details of Security Interest to be

Registered, Amended or Terminated*

(e.g. instrument under which security interest is derived,

effective date, fixed charge or floating charge )

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 6 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below is effective for all matters in respect of the security interest, including this application to

register, amend or terminate a security interest.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Validation/Supporting Documents*

Validation/Supporting Documents*

(Note:Cross only one checkbox)

This application is validated and signed by or on behalf of the grantor. (If this checkbox is selected, please fill in Part 10 of this form)

A copy of the documentary evidence establishing the transaction is attached.

PART 10 Grantor's Signature for Authorisation to Register/ Amend/ Terminate a Grant of Security Interest Note: Fill in this part only if first checkbox of Part 9 is selected.

Name

Signature of Grantor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

PART 11 Declaration*

Declaration (** delete where necessary)

By Person Filing the Application

I, the undersigned, do hereby declare that the information furnished above on behalf of the grantor/grantee** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the grantor/grantee**

ii. The information furnished above on behalf of the grantor/grantee** is true to the best of the person(s)' knowledge.

Name

Signature

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Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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V1.20140214 Page 1 of 6

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM7 Application to Register, Amend or Terminate Security Interest

a. You will need the following information to complete the form: Pre-requisites:

i. Where the application relates to amendment/ termination of a security interest, the security reference no.. ii. Signature by grantor (or their representative if so authorised) or a copy of the documentary evidence establishing the

transaction.

This form may take approximately 4 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. Trade Marks: This form is applicable for a holder of an International Registration (IR) who wishes to record, amend or

terminate a security interest with IPOS. In the event that the security interest extends beyond the IR designating Singapore and affects other countries designated in the IR, the holder may wish to lodge Form MM19(E) directly with WIPO to record it.

d. Fee for this form is payable on a per IP number basis. e. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Transaction Type*

Transaction Type* (Note

: Cross one checkbox

only. Separate forms should be used for different transaction

type)

Registration (Please fill in Parts 3 - 11)

Amendment (Please fill in Parts 3 - 4, 7 - 11)

Security Interest Reference No.

Termination (Please fill in Parts 3 - 4, 7 - 11)

Security Interest Reference No.

PART 3 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 4. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

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PART 4 Name of Applicant/ Proprietor* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Grantor* Note: If the grantor(s) is/are the applicant(s)/ proprietor(s) mentioned in part 4 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

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State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 6 Details of Grantee* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

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Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Details of Security Interest to be Registered, Amended or Terminated*

Details of Security Interest to be

Registered, Amended or Terminated*

(e.g. instrument under which security interest is derived,

effective date, fixed charge or floating charge )

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 6 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below is effective for all matters in respect of the security interest, including this application to

register, amend or terminate a security interest.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Validation/Supporting Documents*

Validation/Supporting Documents*

(Note:Cross only one checkbox)

This application is validated and signed by or on behalf of the grantor. (If this checkbox is selected, please fill in Part 10 of this form)

A copy of the documentary evidence establishing the transaction is attached.

PART 10 Grantor's Signature for Authorisation to Register/ Amend/ Terminate a Grant of Security Interest Note: Fill in this part only if first checkbox of Part 9 is selected.

Name

Signature of Grantor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

PART 11 Declaration*

Declaration (** delete where necessary)

By Person Filing the Application

I, the undersigned, do hereby declare that the information furnished above on behalf of the grantor/grantee** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the grantor/grantee**

ii. The information furnished above on behalf of the grantor/grantee** is true to the best of the person(s)' knowledge.

Name

Signature

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Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM8 Application to Register Transfer of Ownership

a. Signature by all parties (or their representative if so authorised) or a copy of the documentary evidence establishing the transaction.

Pre-requisites:

This form may take approximately 4 - 10 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. Trade Marks: For an international registration designating Singapore, use WIPO form MM5(E) instead of this form. d. Fee for this form is payable on a per IP number basis. e. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 3. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

PART 3 Name of Applicant/ Proprietor* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Full or Partial Transfer (for Trade Marks only) Note : If "Partial", provide details of the trade mark no. , class no. and goods and/ or services the transfer is to be recorded against at Annex A. The transfer application may only be for goods/ services already covered in the trade mark application/ registration, not for those falling outside.

Full or Partial Transfer (Note: Cross one checkbox

only.)

Full

Partial

PART 5 Details of Current Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 6 Details of Subsequent Applicant/ Proprietor* Note (ii) Partial Transfer (Trade Marks) : Please ignore this portion (i.e. Part 6) and fill up the corresponding boxes (i.e. Parts

1 and 2) of the Annex A instead.

: (i) If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 9.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Date of Transfer of Ownership*

Date of Transfer of Ownership*

(DD/MM/YYYY)

PART 8 Other Details

Details of Transfer of Ownership to be

Registered (e.g. Type of Transfer,

Percentage/ Extent of Interest being Transferred)

PART 9 Contact Details*

a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

Note:

b. The address for service in Singapore need not be filled up if the person's address in Part 6 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below will be substituted as the contact details for the subsequent applicant/ proprietor for all

matters. If you are representing the subsequent applicant/ proprietor for transfer of ownership only and not for all other matter, please furnish the contact details for all other matters in Annex B.

Authorised Agent a) For all matters including transfer of ownership relating to the application/registration/ grant

b) For Transfer of Ownership only.

Please complete this part (for transfer of ownership agent details) and Annex B (for all other matters)

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

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Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 10 Validation/ Supporting Documents*

Validation/ Supporting Documents*

(Note: Cross only one checkbox)

This application is validated and signed by or on behalf of all relevant parties. (If this checkbox is selected, please fill in Part 11. For partial transfer (Trade Marks), please fill in Part 11A and Annex A).

A copy of the documentary evidence establishing the transaction is attached.

PART 11 Signature for Authorising the Transfer of Ownership Note: Fill in this part only if first checkbox of Part 10 is selected.

11A. Name

Signature of Current Applicant/ Proprietor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

Note: Partial transfer (Trade Marks) - Please ignore this portion (i.e. Part 11B) and fill up the corresponding boxes (i.e. Part 3) of Annex A instead.

11B. Name

Signature of Subsequent Applicant/ Proprietor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

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PART 12 Declaration*

Declaration (** delete where necessary)

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above on behalf of the current applicant/proprietor/ subsequent applicant/proprietor** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the current applicant/proprietor/ subsequent applicant/proprietor**.

ii. The information furnished above on behalf of the current applicant/proprietor/ subsequent applicant/proprietor** is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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ANNEX A Continuation Sheet for Part 6 (for Trade Marks Partial Transfer of Ownership Only) PART 1 Details to be Recorded of Subsequent Applicant/ Proprietor 1 Note

(a) Current registered proprietor/ applicant in a situation where current applicant/ proprietor retains ownership of trademark in relation to part of the goods/ services/ rights; or

: (1) Subsequent Applicant/ Proprietor 1 here refers to:

(b) One of the subsequent applicant/ proprietors where current applicant/ proprietor has divested all his rights in the trademark to different parties and does not retain any ownership of the trademark.

(2) If Subsequent Applicant/ Proprietor 1 is current applicant/ proprietor, need not fill in this portion.

UEN/ Company Code (if applicable)

Name

Address Singapore Address This Singapore address is to be used as the address for

service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 9.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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ANNEX A PART 1A Details of Goods/ Services/ Rights to be transferred to/ retained by Subsequent Applicant/ Proprietor 1 Note: If the space provided is insufficient, please continue on separate sheets.

All goods/ services claimed in the following trade mark no. and class

Trade Mark No.

Class No.

Trade Mark No.

Class No.

Description of Rights Transferred

(optional)

The following goods/ services/ rights only

Trade Mark No.

Class No.

Specification of Goods/ Services/ Rights

Class No.

Specification of Goods/ Services/ Rights

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ANNEX A PART 2 Details to be Recorded of Subsequent Applicant/ Proprietor 2 Note: Where there are more than 2 subsequent applicant/ proprietors, please provide the corresponding particulars for all the other subsequent applicant/ proprietors in an attached sheet.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 9.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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ANNEX A PART 2A Details of Goods/ Services/ Rights to be transferred to/ retained by Subsequent Applicant/ Proprietor 2 Note: If the space provided is insufficient, please continue on separate sheets.

All goods/ services claimed in the following trade mark no. and class

Trade Mark No.

Class No.

Trade Mark No.

Class No.

Description of Rights Transferred

(optional)

The following goods/ services/ rights only

Trade Mark No.

Class No.

Specification of Goods/ Services/ Rights

Class No.

Specification of Goods/ Services/ Rights

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ANNEX A PART 3 Signature for Authorising the Transfer of Ownership

3A. Name

Signature of Subsequent Applicant/ Proprietor 1

(or his representative if so authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

3B. Name

Signature of Subsequent Applicant/ Proprietor 2

(or his representative if so authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

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V1.20140214 Page 12 of 12

ANNEX B Contact Details*

a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent name" and "Address for Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

Note:

b. Fill this part ONLY if Part 9 option (b) is selected. Leave this Part BLANK if Part 9 option (a) is selected, as person's address in Part 9 will be used as address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below will be substituted as the contact details for the subsequent applicant/ proprietor for all

matter, except transfer of ownership.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person

Direct Telephone No.

Email Address

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V1.20140214 Page 1 of 2

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM9 Request for Withdrawal of Application

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patent Application Number/ Trade Marks Number. International Application No. is applicable to Trade Marks only.

Application No./ International Application

No.*

Class No. (for Trade Marks only)

PART 3 Name of Applicant* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 5 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No.of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM12 Request for Certified Copy of Entry in Register or Certified Extract from Register/

Request for Certified Document Relating to Patent or Application for Patent

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. The fee for this form is payable on a per certificate basis. c. If you are not the applicant, registered proprietor or agent of the trade mark/ designs on our record, the Registrar may

request for evidence to show that you have an interest in the entry, matter or thing before issuance of the certificate. d. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patents Application Number / Trade Marks Number. International Application Number is applicable to Patents only.

Application No.

International Application No. (if applicable)

P C T

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If the person(s) filing this request is/are the applicant/proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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V1.20140214 Page 2 of 4

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 7.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Nature of Request*

Nature of Request* (Note

For Designs only :Cross only one

checkbox) Certified Copy from the Register

For Trade Marks only

Certified copy of the application as it was applied for

Certified copy of the application or registration as it is now

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Certified extract of any other entry in the Register: (list the category of information from the Register which you require, e.g. licence details, assignment details, security interest etc.) as from (DD/MM/YYYY) to (DD/MM/YYYY)

Start Date (DD/MM/YYYY)

End Date (DD/MM/YYYY)

For Patents only

Certificate in respect of a patents priority document under Rule 17.1(b) of the Regulations under the Patents Co-operation Treaty

Certified copy of the patents international application under Rule 118

Certified copy or extract of the following:

PART 6 No. of Copies*

No. of Copies Required*

PART 7 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

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V1.20140214 Page 4 of 4

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

PART 9 Other Information (for Trade Marks only) Certified extracts of the IPOS Register of Trade Marks pertaining to an international registration may not necessary tally with the International Register maintained by the International Bureau of the WIPO due to a possible time lapse in updating of their respective registers by the WIPO and IPOS. A registered proprietor may apply directly to the International Bureau of the WIPO for certified extracts from the International Register.

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 266)

TRADE MARKS RULES / REGISTERED DESIGNS RULES

FORM CM13 Request for Reinstatement of Rights

Pre-requisites: a. This form is applicable only to applications with the status of "treated as withdrawn" (reinstatable) Estimated Time: This form may take approximately 1 - 5 minutes to complete. General: a. * denotes mandatory field. b. Please provide the IPOS reference number (where applicable) in order for us to expedite the processing of this form.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.* Note:

a. Application number refers to Designs Number / Trade Marks Number. b. International Registration No. and International Application No. are applicable to Trade Marks only. c. For the reinstatement of an action involving multiple application/registration numbers, please enter only one of the

application/registration no.

Application No./ International Application

No./ International Registration No.*

PART 3 Name of Applicant/ Registered Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Request for Reinstatement of Rights is in relation to*

Request for Reinstatement of Rights

is in relation to* (Note: Cross one checkbox

only)

Application for Registration

Assignment

Licence (Please specify Licence Reference No.)

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V1.20140214 Page 2 of 3

Security Interest (Please specify Security Interest Reference No.)

Others (Please specify)

PART 5 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that :

i. The delay in responding to the Registry was unintentional.

ii. The information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The delay in responding to the Registry was unintentional.

iii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Please note that any action from the applicant/ proprietor which is outstanding, must be completed together with this form.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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Page 1 of 4

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC1 Notice of Attendance at Hearing

Pre-requisites: a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Estimated Time: This form may take approximately 1 – 4 minutes to complete. General a. * denotes mandatory field. b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. c. The fee for Trade Marks is payable on a per class basis.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. (for Trade Marks only)

Total No. of Classes (for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Person Filing this Request for Attendance* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 5 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Reason for Hearing

Case Type

PART 7 Attendee Type

Party Name

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If 3rd Party, Name of 3rd Party

PART 8 Hearing Details Note: (1) - The relevant party to this action, for example, the opponent (2) - Time (3) - Date, ie DD/MM/YYYY (4) - Agent Name

I/ We, the (1) in the matter indicated at Part 6 above,

confirm that the hearing before the Registrar arranged for (2) hours on

(3) will be attended by me/ us or by my/ our agent

(4)

PART 9 Attachments

Please attach any supporting documents.

PART 10 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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Page 1 of 4

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC2 Request to Extract Registrar's Certificate of Taxation

Pre-requisites: a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Estimated Time: This form may take approximately 1 - 5 minutes to complete. General a. * denotes mandatory field. b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. c. The fee for Trade Marks is payable on a per class basis.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. (for Trade Marks only)

Total No. of Classes (for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Person Filing this Request for Certificate of Taxation* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (Mandatory for USA

corporations)

Country of Residency (Mandatory for Individuals)

Sole Proprietor or Partners' Name

(if Sole Proprietorship or Partnership)

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PART 5 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Attachments

Please attach any supporting documents.

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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Page 1 of 5

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC3 Request for Extension of Time

Pre-requisites: Please have a copy of the notice and each written consent, if any, ready. For details relating to the notice and written consent, please refer to the Trade Mark Rules, Patents Rules and Registered Designs Rules respectively. Estimated Time: This form may take approximately 1 - 5 minutes to complete. General a. * denotes mandatory field. b. Please note that for certain types of request, there is no fee payable. c. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. d. The fee for Trade Marks is payable on a per class basis

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. (for Trade Marks only)

Total No. of Classes (for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Person Filing this Request for an Extension of Time* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (Mandatory for USA

corporations)

Country of Residency (Mandatory for Individuals)

Sole Proprietor or Partners' Name

(if Sole Proprietorship or Partnership)

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PART 5 Extension of Time Request Details*

Applicable Due Date* (DD/MM/YYYY)

No. of prior extension of time request filed*

Is this the first request for an extension of time

for the relevant matter for which an extension is

sought?*

Yes No

Duration of extension requested for:*

Weeks or

Months

Extension of Time in Relation to:*

(Note: Cross only one checkbox)

Counter-Statement

Evidence

Taxation Matters

Others

Reason for Extension of Time Request*

PART 6 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Attachments

Please attach all supporting documents.

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Indicate if applicable.

However, for a request for an extension of time to file counter

statement/statement, please note that it is mandatory that consent is either obtained or

sought

Consent of the other party to the proceeding has been sought.

Consent of the other party to the proceeding has been obtained.

Name

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Page 5 of 5

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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Page 1 of 4

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC4 Request for Ex Parte Hearing

Pre-requisites: a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Estimated Time: This form may take approximately 1 - 5 minutes to complete. General a. * denotes mandatory field. b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person filing this Request for Hearing* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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Page 2 of 4

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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Page 3 of 4

PART 5 Request Details* Note : Please briefly describe the subject matter and/ or issues to be brought before the Registrar.

I/ We Hereby Request a Hearing Before the

Registrar in Relation to the Above Application in

Respect of*:

PART 6 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

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Page 4 of 4

Email Address (if applicable)

PART 7 Attachments

Please attach any supporting documents.

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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Page 1 of 4

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC6 Counter statement

Pre-requisites: a. Please have a copy of the statement with details of (i) the grounds on which you rely on to support your application/ registration/ amendment/ alteration ready. For Trade Marks (ii) Please have a copy of the statement with details of any allegations in the notice of opposition/ application for revocation / declaration of invalidity/ rectification that you are admitting ready. (iii) Please use one Form HC6 for every Form TM11 received.

(iv) If the Form HC6 relates to an International Registration Designating Singapore or a Protected International Trade Mark (Singapore), the international registration number must be given, in addition to the Application No., the Case No. and the Class No. (v) The fee for Trade Marks is payable on a per class basis. (vi) For revocations under the ground of non-use (section 22(1)(a) and/or section 22(1)(b) of the Trade Marks Act), if filing any evidence of use with this Form HC6, please do so by statutory declaration.

For Designs

(vii) Please have a copy of the statement with details of any allegations in the application for revocation that you are admitting ready.

For Patents

(viii) if the Form HC6 is made in accordance with an application for revocation of a Patent, please have in addition, an amendment of the specification of the Patent, if any ready.

Estimated Time: This form may take approximately 9-13 minutes to complete. General a. * denotes mandatory field. b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be

taken as filed.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. this Counter-Statement relates to

(for Trade Marks only)

Total No. of Classes this Counter-Statement

relates to (for Trade Marks only)

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Page 2 of 4

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Seeking to File the Counter-Statement* Note: If the person filing this request is/ are the applicant/ proprietor mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

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Page 3 of 4

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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Page 4 of 4

PART 6 Attachments*

Please provide the following information on a separate sheet of paper:

(a) Details of the grounds upon which the applicant/ proprietor** of the trade mark/ design/ patent relies to support the application/ registration/ amendment/ alteration**

(b) Details of any allegations in the notice of opposition/ application for revocation/ declaration of invalidity/ rectification** that the applicant/ proprietor** is admitting

(** delete where appropriate)

For Trade Marks, for revocations under the ground of non-use (section 22(1)(a) and/or section 22(1)(b) of the Trade Marks Act), if filing any evidence of use with this Form HC6, please do so by way of a statutory declaration.

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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V1.20140214 Page 1 of 4

SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC5 Request for Grounds of Decision for Ex Parte Hearing

a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Pre-requisites:

This form may take approximately 1 - 4 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing this Request for Grounds of Decision* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/Company Code (if applicable)

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V1.20140214 Page 2 of 4

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Hearing Information*

Date of Hearing* (DD/MM/YYYY)

Date of Registrar's Decision*

(DD/MM/YYYY)

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V1.20140214 Page 3 of 4

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Attachments

Please attach any supporting documents.

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V1.20140214 Page 4 of 4

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)