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(Section 31)

(Section 4.)

Ch. 31. No. 18.) Patents, Designs and Trade Marks.

Form D.

Application for Registration of Trade Mark.

(One representation to be fixed within this space and two
others on separate sheets of foalscap of same size.)

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

You are hereby requested to register the accompanying trade mark in Class
in the name of who claims to be the proprietor thereof.

o the Registrar of Patents, Designs, and Trade Marks for the Colony of Trinidad
and Tobago.

(Signed)

Form FE.
Certificate of Provisional Protection.

1, A.B., Registrar of Patents, Designs, and Trade Marks for the Colony of Trinidad

and Tobago hereby certify that on the day of , 19,
has been delivered to me by [or, on behalf of] of a declaration in
writing signed by the said of a certain invention whereof the said

claims to be the inventor or proprietor, being an invention [state the name of the
sarention| together with a provisional specification describing the nature of the
invention, and that the said is entitled to provisional protection from the
consequences of the use and publication of such invention for the period of nine
months from this date or until within that period a patent for the same shall have
been granted,
A.B.,
Registrar General,