MM11
来源机关：国家知识产权局商标局
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MM11 (E) – RENEWAL OF THE INTERNATIONAL REGISTRATION
We strongly recommend that you use eMadrid to renew your international registration.
| For use by the holder: | For use by the holder: |
| Number of continuation sheets: | |
| Holder’s reference (optional): | |
| For use by the Office of origin: | For use by the Office of origin: |
| Office’s reference (optional): |
| 1. INTERNATIONAL REGISTRATION NUMBER |
| 2. NAME OF THE HOLDER As recorded in the International Register. |
| 3. CONTRACTING PARTIES FOR WHICH RENEWAL IS REQUESTED | 3. CONTRACTING PARTIES FOR WHICH RENEWAL IS REQUESTED | 3. CONTRACTING PARTIES FOR WHICH RENEWAL IS REQUESTED | 3. CONTRACTING PARTIES FOR WHICH RENEWAL IS REQUESTED |
| Check the corresponding boxes (you must indicate at least one Contracting Party): | Check the corresponding boxes (you must indicate at least one Contracting Party): | Check the corresponding boxes (you must indicate at least one Contracting Party): | Check the corresponding boxes (you must indicate at least one Contracting Party): |
| AE United Arab Emirates AF Afghanistan AG Antigua and Barbuda AL Albania AM Armenia AT Austria AU Australia AZ Azerbaijan BA Bosnia and Herzegovina BG Bulgaria BH Bahrain BN Brunei Darussalam BQ Bonaire, Sint Eustatius and Sabaa BR Brazil BT Bhutan BW Botswana BX Beneluxd BY Belarus BZ Belize CA Canada CH Switzerland CL Chile CN China CO Colombia CU Cuba CV Cabo Verde CW Curaçaoa CY Cyprus CZ Czech Republic DE Germany DK Denmark | DZ Algeria EE Estonia EG Egypt EM European Unionb ES Spain FI Finland FR France GB United Kingdome GD Grenada GE Georgia GG Guernseyf GH Ghana GM Gambia GR Greece HR Croatia HU Hungary ID Indonesia IE Irelandb IL Israel IN India IR Iran (Islamic Republic of) IS Iceland IT Italy JM Jamaica JP Japan KE Kenya KG Kyrgyzstan KH Cambodia KP Democratic People’s Republic of Korea KR Republic of Korea | KZ Kazakhstan LA Lao People’s Democratic Republic LI Liechtenstein LR Liberia LS Lesotho LT Lithuania LV Latvia MA Morocco MC Monaco MD Republic of Moldova ME Montenegro MG Madagascar MK North Macedonia MN Mongolia MU Mauritius MW Malawi MX Mexico MY Malaysia MZ Mozambique NA Namibia NO Norway NZ New Zealand OA African Intellectual Property Organization (OAPI)c OM Oman PH Philippines PK Pakistan PL Poland PT Portugal QA Qatar | RO Romania RS Serbia RU Russian Federation RW Rwanda SD Sudan SE Sweden SG Singapore SI Slovenia SK Slovakia SL Sierra Leone SM San Marino ST Sao Tome and Principe SX Sint Maarten (Dutch part)a SY Syrian Arab Republic SZ Eswatini TH Thailand TJ Tajikistan TM Turkmenistan TN Tunisia TR Türkiye TT Trinidad and Tobago UA Ukraine US United States of America UZ Uzbekistan VN Viet Nam WS Samoa ZM Zambia ZW Zimbabwe |
| a Territorial entity previously part of the former Netherlands Antilles. b The designation of the European Union covers its Member States (Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands (Kingdom of the), Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden). c The designation of the African Intellectual Property Organization (OAPI) covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d’Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo. d The designation of Benelux covers the following States: Belgium, Luxembourg and Netherlands (Kingdom of the). e The designation of the United Kingdom covers England, Wales, Scotland, Northern Ireland, the British Overseas Territory of the Falkland Islands (Malvinas) and Gibraltar, as well as the two British Crown Dependencies of the Isle of Man and Jersey (see Information Notices No. 38/2015 and 77/2020). f The Bailiwick of Guernsey is a self-governing British Crown Dependency (see Information Notice No. 77/2020). | a Territorial entity previously part of the former Netherlands Antilles. b The designation of the European Union covers its Member States (Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands (Kingdom of the), Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden). c The designation of the African Intellectual Property Organization (OAPI) covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d’Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo. d The designation of Benelux covers the following States: Belgium, Luxembourg and Netherlands (Kingdom of the). e The designation of the United Kingdom covers England, Wales, Scotland, Northern Ireland, the British Overseas Territory of the Falkland Islands (Malvinas) and Gibraltar, as well as the two British Crown Dependencies of the Isle of Man and Jersey (see Information Notices No. 38/2015 and 77/2020). f The Bailiwick of Guernsey is a self-governing British Crown Dependency (see Information Notice No. 77/2020). | a Territorial entity previously part of the former Netherlands Antilles. b The designation of the European Union covers its Member States (Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands (Kingdom of the), Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden). c The designation of the African Intellectual Property Organization (OAPI) covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d’Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo. d The designation of Benelux covers the following States: Belgium, Luxembourg and Netherlands (Kingdom of the). e The designation of the United Kingdom covers England, Wales, Scotland, Northern Ireland, the British Overseas Territory of the Falkland Islands (Malvinas) and Gibraltar, as well as the two British Crown Dependencies of the Isle of Man and Jersey (see Information Notices No. 38/2015 and 77/2020). f The Bailiwick of Guernsey is a self-governing British Crown Dependency (see Information Notice No. 77/2020). | a Territorial entity previously part of the former Netherlands Antilles. b The designation of the European Union covers its Member States (Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands (Kingdom of the), Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden). c The designation of the African Intellectual Property Organization (OAPI) covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d’Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo. d The designation of Benelux covers the following States: Belgium, Luxembourg and Netherlands (Kingdom of the). e The designation of the United Kingdom covers England, Wales, Scotland, Northern Ireland, the British Overseas Territory of the Falkland Islands (Malvinas) and Gibraltar, as well as the two British Crown Dependencies of the Isle of Man and Jersey (see Information Notices No. 38/2015 and 77/2020). f The Bailiwick of Guernsey is a self-governing British Crown Dependency (see Information Notice No. 77/2020). |
| 4. SIGNATURE | 4. SIGNATURE |
| By signing this form, I declare that I am entitled to sign it under the applicable law: | By signing this form, I declare that I am entitled to sign it under the applicable law: |
| Name: | |
| Signature: |
| METHOD OF PAYMENT If you want to debit the amount of the fees from your Current Account at WIPO, tick the box and provide the information under item (a). If you have already transferred those amounts to WIPO’s bank or postal account, provide as much information as possible under item (b), which would allow WIPO to identify and allocate your payment. | METHOD OF PAYMENT If you want to debit the amount of the fees from your Current Account at WIPO, tick the box and provide the information under item (a). If you have already transferred those amounts to WIPO’s bank or postal account, provide as much information as possible under item (b), which would allow WIPO to identify and allocate your payment. | METHOD OF PAYMENT If you want to debit the amount of the fees from your Current Account at WIPO, tick the box and provide the information under item (a). If you have already transferred those amounts to WIPO’s bank or postal account, provide as much information as possible under item (b), which would allow WIPO to identify and allocate your payment. | METHOD OF PAYMENT If you want to debit the amount of the fees from your Current Account at WIPO, tick the box and provide the information under item (a). If you have already transferred those amounts to WIPO’s bank or postal account, provide as much information as possible under item (b), which would allow WIPO to identify and allocate your payment. | METHOD OF PAYMENT If you want to debit the amount of the fees from your Current Account at WIPO, tick the box and provide the information under item (a). If you have already transferred those amounts to WIPO’s bank or postal account, provide as much information as possible under item (b), which would allow WIPO to identify and allocate your payment. | METHOD OF PAYMENT If you want to debit the amount of the fees from your Current Account at WIPO, tick the box and provide the information under item (a). If you have already transferred those amounts to WIPO’s bank or postal account, provide as much information as possible under item (b), which would allow WIPO to identify and allocate your payment. | METHOD OF PAYMENT If you want to debit the amount of the fees from your Current Account at WIPO, tick the box and provide the information under item (a). If you have already transferred those amounts to WIPO’s bank or postal account, provide as much information as possible under item (b), which would allow WIPO to identify and allocate your payment. |
| (a) | INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT AT WIPO | INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT AT WIPO | INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT AT WIPO | INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT AT WIPO | INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT AT WIPO | INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT AT WIPO |
| The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with WIPO (if this box is checked, it is not necessary to complete item (b)). | The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with WIPO (if this box is checked, it is not necessary to complete item (b)). | The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with WIPO (if this box is checked, it is not necessary to complete item (b)). | The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with WIPO (if this box is checked, it is not necessary to complete item (b)). | The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with WIPO (if this box is checked, it is not necessary to complete item (b)). | The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with WIPO (if this box is checked, it is not necessary to complete item (b)). | |
| Holder of the account: | Holder of the account: | |||||
| Account number: | Account number: | |||||
| Identity of the party giving the instructions: | Identity of the party giving the instructions: | |||||
| (b) | BANK OR POSTAL TRANSFER | BANK OR POSTAL TRANSFER | BANK OR POSTAL TRANSFER | BANK OR POSTAL TRANSFER | BANK OR POSTAL TRANSFER | BANK OR POSTAL TRANSFER |
| Identity of the party effecting the payment: | Identity of the party effecting the payment: | Identity of the party effecting the payment: | ||||
| Payment received and acknowledged by WIPO | Payment received and acknowledged by WIPO | Payment received and acknowledged by WIPO | Payment received and acknowledged by WIPO | WIPO receipt number | WIPO receipt number | |
| Payment received and acknowledged by WIPO | Payment received and acknowledged by WIPO | Payment received and acknowledged by WIPO | Payment received and acknowledged by WIPO | |||
| Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | Payment identification | dd/mm/yyyy | |
| Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | Payment made to WIPO bank account Account name: WIPO Bank: UBS SWITZERLAND AG, ZURICH, SWITZERLAND IBAN: CH77 0024 0240 FP10 1035 6 Swift: UBSWCHZH80A | |||
| Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE | Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE | Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE | Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE | Payment identification | dd/mm/yyyy | |
| Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE | Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE | Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE | Payment made to WIPO postal account (within Europe only) Account name: WIPO / OMPI SWISS POST/Postfinance, Engelhaldenstrasse 37, CH-3030 Bern IBAN: CH03 0900 0000 1200 5000 8 Swift: POFICHBE |
| FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET | FEE CALCULATION SHEET |
| AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES | AMOUNT OF FEES |
| Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | Basic fee: 653 Swiss francs. | |
| Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | Where applicable, surcharge for the grace period: 326.50 Swiss francs | |
| Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: | Complementary and supplementary fees: |
| Number of designations for which complementary fee is applicable | Number of designations for which complementary fee is applicable | Complementary fee | Complementary fee | Complementary fee | Complementary fee | Total amount of the complementary fees | Total amount of the complementary fees | Total amount of the complementary fees | |
| x | x | 100 Swiss francs | 100 Swiss francs | 100 Swiss francs | = | = | |||
| Number of classes of goods and services beyond three | Number of classes of goods and services beyond three | Supplementary fee | Supplementary fee | Supplementary fee | Supplementary fee | Total amount of the supplementary fees | Total amount of the supplementary fees | Total amount of the supplementary fees | |
| x | x | 100 Swiss francs | 100 Swiss francs | 100 Swiss francs | = | = | |||
| Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): | Individual fees (Swiss francs): |
| Designated Contracting Parties | Designated Contracting Parties | Designated Contracting Parties | Designated Contracting Parties | Individual fee | Designated Contracting Parties | Designated Contracting Parties | Designated Contracting Parties | Individual fee | Individual fee |
| Total individual fees | Total individual fees | Total individual fees | Total individual fees | = | |||||
| GRAND TOTAL (Swiss francs) | GRAND TOTAL (Swiss francs) | GRAND TOTAL (Swiss francs) | GRAND TOTAL (Swiss francs) | = |
| CONTINUATION SHEET | No. | of | ||