| (1) Title of the Mark____________________________
________________________________________________ (If a verbal TM, indicate this in upper letters above). If a pictorial TM or a verbal plus a Pictorial TM, affix an illustration of the TM within this space |
Application No.
:
|
| The Director General
Intellectual Property Office Makati City S I R : The undersigned requests that the above- mentioned mark be registered according to R. A. 8293. |
| (2) Name and address of Applicant/s | (3) Citizenship or State of Incorporation | |
| (4) Address of real and effective business establishment | ||
| (5) Name of representative, if any and address | ||
| (6) Goods or Services | (7) Class/es, if known | |
| (8) Manner of using the Mark | (9)
Based on Foreign Reg.
a) Reg. No. ___________________________ b) Date: _____________________________ |
|
| (10)
Claim of Priority, if any.
(a) State where earlier (b) Name of Office where (c) Date of Application (d) Application No., If available application was filed application was filed ___________________ ___________________ ______________________ _____________________ ___________________ ___________________ ______________________ _____________________ ___________________ ___________________ ______________________ _____________________ ___________________ ___________________ ______________________ _____________________ |
||
| (11) Translation or Transliteration, if any. | ||
| (12) Disclaimer, if any. | ||
| (13) Specific Description of Mark, Design, Device or Logo | ||
| (14) Is the Mark Three-Dimensional | (15) Claim of color/s, if any. | |
| (16)
|
| (17) Checklist of Annex/es
Number of Pages
[ ] Additional list of goods ______________ [ ] Claim of Priority ______________ [ ] Home of Applications ______________ [ ] Disclaimer ______________ [ ] Claim of Color/s ______________ [ ] Translation/Transliteration ______________ |
|
|
|
|
|
 Harvard
Computer Systems, Inc. |
|
|
|