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BEFORE
THE INTELLECTUAL PROPERTY APPELLATE BOARD Fee Rs.10,000 FORM
3 APPEAL
UNDER SECTION 91 OF THE TRADE MARKS ACT, 1999 IN RESPECT OF GOODS OR SERVICES
FALLING IN TWO OR MORE CLASSES (To
be filed in triplicate) Title of the Case: INDEX Sl.No. Description
of documents relied upon
Page No.
1. 2. 3. 4. _______________________________________________________________
Signature
of the Appellant For use in the Board Office Date of filing Registration No. Signature BEFORE
THE INTELLECTUAL PROPERTY APPELLATE BOARD A.B. (add description such as
full name, nationality, address, registered office
) APPELLANT
Vs. C.D. (add
description such
as full name, nationality, address, registered office and the residential or
official address on which the service of notices is to be effected on the
respondent or respondents. The details of each respondent are to be given in a
chronological order). RESPONDENT
DETAILS
OF APPEAL : 1. Particulars of the order against
which the appeal is made: (Particulars
of the order giving the details like the number, date and authority which has
passed the order against which the appeal is made.) 2. Jurisdiction of the Board: The
appellant declares that the subject matter of the order against which he wants
redressal is within the jurisdiction of the Board. 3. Limitation: The
appellant further declares that the appeal is within the limitation period
prescribed in section 91(1) of the Trade Marks Act, 1999. 4. Facts of the case: (Give
here a concise statement of facts in a chronological order, each paragraph
containing as nearly as possible a separate issue or fact.) 5.
Grounds for relief with legal provisions: 6.
Matters not previously filed or pending with any other court: The
appellant further declares that he had not previously filed any appeal, writ
petition or suit before any court or any other authority regarding the matter in
respect of which this appeal has been made. (In
case the appellant had previously filed any such appeal, writ petition or suit,
the stage at which it is pending, and if decided, the list of the decisions
should be given with reference to the number of Annexure to be given in support
thereof.) 7.
Reliefs sought: In
view of the facts mentioned above the appellant prays for the following relief(s): (Specify
the relief(s) sought explaining the
grounds for such relief(s) and the legal provisions, if any relied upon).
1. 2. 3. 4. 10.
All communications relating to these proceedings may be sent to the
following address in
.
VERIFICATION
I
(Name of the appellant) age
of
. nationality, resident of
do hereby verify that the contents of
paras
. to
. are true to my personal knowledge and
paras
to
.. are believed
to be true on legal advice
and that I have not suppressed any material fact. Dated, this
.day
of
.. Place: Signature
of the Appellant To,
The Deputy
Registrar, |