IPOPHL-SOP-BOT-02-F01 Request for Transformation of an International Registration into a National Application

Ipophil request form to transform international registration into national application

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Intellectual Property Office of the Philippines
Bureau of Trademarks
REQUEST TO TRANSFORM AN INTERNATIONAL
REGISTRATION INTO A NATIONAL
APPLICATION/REGISTRATION
(Prescribed Form)

Document No.
IPOPHL-SOP-BOT-02-F01
Rev. No. 01
Issued By:
BOT

Date:
October 01, 2017

The Director of Trademarks
Intellectual Property Center, 28 Upper
McKinley Rd., McKinley Hill Town Center
Fort Bonifacio, Taguig City 1634
Philippines

REQUEST TO TRANSFORM AN INTERNATIONAL REGISTRATION
INTO A NATIONAL APPLICATION / REGISTRATION
Registrant, by way of the undersigned agent/representative, requests for the transformation of the International
Registration into a Philippine National Application / Registration.

Applicant Details:
Name:
Address:

Details of the International Registration to be Transformed:
International Registration No.:
International Registration Date:
Date of Cancellation of the International Registration:
Mark:
Representation of the Mark:
Description of the Mark (if included in the International Registration):
Type of Mark:
Priority details, if priority is claimed:
Disclaimer, if any:
Claim of color(s), if any:
Translation / Transliteration, if any:
Class(es) Subject of Replacement:

Agent/Representative Details:

Name & Signature:
Address:
Telephone:
Email:
Agent Code, if any: