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    Dau 100117

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    Rab Alvaera
    This document is a declaration of actual use form from the Intellectual Property Office of the Philippines Bureau of Trademarks. The form requires information about a trademark such as the applicant, registration details of the mark, evidence that the mark is being used in commerce in the Philippines, and an affidavit from the applicant or registrant attesting to the truth of the statements in the declaration.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Dau 100117

    Uploaded by

    Rab Alvaera
    55 views2 pages
    This document is a declaration of actual use form from the Intellectual Property Office of the Philippines Bureau of Trademarks. The form requires information about a trademark such as the applicant, registration details of the mark, evidence that the mark is being used in commerce in the Philippines, and an affidavit from the applicant or registrant attesting to the truth of the statements in the declaration.

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    This document is a declaration of actual use form from the Intellectual Property Office of the Philippines Bureau of Trademarks. The form requires information about a trademark such as the applicant, registration details of the mark, evidence that the mark is being used in commerce in the Philippines, and an affidavit from the applicant or registrant attesting to the truth of the statements in the declaration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    55 views2 pages

    Dau 100117

    Uploaded by

    Rab Alvaera
    This document is a declaration of actual use form from the Intellectual Property Office of the Philippines Bureau of Trademarks. The form requires information about a trademark such as the applicant, registration details of the mark, evidence that the mark is being used in commerce in the Philippines, and an affidavit from the applicant or registrant attesting to the truth of the statements in the declaration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Document No.

    Intellectual Property Office of the Philippines


    IPOPHL-SOP-BOT-01-F02
    Bureau of Trademarks Rev. No. 04
    DECLARATION OF ACTUAL USE Issued by: Date:
    (Prescribed Form) BOT 10/01/2017

    Please check one: [ ] Within three (3) years from filing / international registration / subsequent designation
    [ ] Within one (1) year from the fifth (5th) anniversary of the registration of the mark
    [ ] Within one (1) year from the date of renewal
    [ ] Within one (1) year from the fifth (5th) anniversary of each renewal
    [ ] Tenth (10th) anniversary
    [ ] Fifteenth (15th) anniversary

    I, (name of declarant) , of legal age, citizen, residing at


    , depose and state under oath that:

    1. I am the [ ] applicant for registration


    [ ] authorized officer of applicant – corporation
    [ ] registrant
    [ ] authorized officer or registered owner – corporation
    [ ] agent / authorized representative of applicant / registrant

    of the mark

    2. The Mark was accorded


    [ ] Application No. Filing Date
    [ ] Registration No. Registration Date
    Renewal Date
    [ ] International Reg. No. International Reg. Date
    Subsequent Des. Date
    [ ] International Reg. No. Date of Grant
    Renewal Date

    for the following class/es of goods and / or services: (Attach additional sheet/s, if necessary)

    3. The Mark is being used in the Philippines for the following class/es of goods and / or services ( Attach additional sheet/s, if
    necessary):

    4. The goods are sold and / or services are rendered in the following outlets:
    Name of Outlet Address

    5. As proof of actual use, attached are labels or pictures of the mark (or pictures of the stamped container visibly or legibly
    showing the mark) or other evidence of use.

    6. This affidavit is executed to attest to the truth of the foregoing and for the purpose of complying with the requirements of R. A.
    8293 and the Trademark Regulations, as amended.

    Affiant

    SUBSCRIBED AND SWORN TO BEFORE ME a Notary Public for and in the City of , this
    , by the affiant, who personally appeared before me and whose identity I have confirmed through his/her government-
    issued identification document , bearing the affiant’s photograph and
    signature, issued at on .

    Doc. No. ;
    Page No. ;
    Book No. ;
    Series of .

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