Trademark Registration

Applicant Name *

Applicant Address *

Organization Type * Select Type Individual Sole Proprietorship Partnership Firm Private Limited Company Public Limited Company LLP Trust Society

Type (Entity/Individual) *

Signatory Name *

On Behalf Of (Company/Firm)

Partner Names (if any)

Signatory Designation *

Nationality * Select Indian American British Canadian Australian Other

Father's / Husband's Name *

Signatory Residence Address *

Signatory Date of Birth *

Mobile Number (Signatory) * Enter 10-digit mobile number

Email Address *

Trademark/Brand Name *

Mark Type * Select Word Mark Device Mark (Logo) Combination Mark Sound Mark 3D Mark

Mark in Use? * Select Yes, already in use Proposed to be used

Date of First Use (if in use) Required if mark is already in use

Contact Person Name *

Contact Person Number * Enter 10-digit mobile number

Decision Taker Name *

Decision Taker Number * Enter 10-digit mobile number