FORM F. (n)

Section 62.

FORM OF APPLICATION FOR REGISTRATION OF TRADE MARK.

[NOTE. Each side of this square in the Schedule to
the Act is 4 inches in length.]

(One representation to be fixed within this square, and two others on separate sheets of foolscap of same size.)

(Representations of a larger size may be folded, but must be mounted upon linen and affixed hereto.)

You are hereby requested to register the accompanying trade mark, [In Class Iron in bars, sheets, and plates; in Class Steam engines and boilers; and in Class - Warming Apparatus], in the name of (a).

who claims (a) Here insert

Patent Office, 25, Southampton Buildings,

Chancery Lane, W.C.

legibly the
name, address,
and business
of the indi-
vidual or firm.

(Signed).

NOTE. If the trade mark has been in use before August 13, 1875, state length of user.

(n) For this Form is now substituted Form F in the Second Schedule to the Trade Marks Rules, 1883, post, see r. 4.

THE SECOND SCHEDULE.

Fees on Instruments for obtaining Patents, and Renewal.

(b.) Further before end of four years from date of patent.

(c). Further before end of seven years, or in the case of patents granted after the commencement of this Act, before the end of eight years from date of patent.

Or in lieu of the fees of £50 and £100 the following annual fees:
Before the expiration of the fourth year from the date of the patent 10 0

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