Trade and Merchandise Marks Act, 1958
Application for registration of a trade mark (other than a textile mark or a certification trademark or a defensive trade mark) in Part A of the Register.
Application is hereby made for registration in Part A of the Register of the accompanying trade mark in Class 29 in respect of all types of …………………in the name of……………………………………………………….., manufacturers and merchants, a company incorporated under the Companies Act, 1956, having its corporate office at ……………………………………………………………………………………………….., India and whose address for service in India is ………………., ……………………, …………………, who claims to be the proprietor thereof and by whom the trade mark is ………………………….. in respect of the aforesaid goods. 
Mumbai, dated this …………, 20…….
 For ………………………….
(By their Agents)
Address: ……………………
…………………………….
……………………………
To: 
The Registrar of Trade Marks,
The Office of the Trade Marks Registry, at …………