MM9

来源机关：国家知识产权局商标局

所属类别：马德里商标国际注册书式 · 来源机关：国家知识产权局商标局 · 文件格式：DOCX

表格内容预览

MM9 (E) – REQUEST FOR THE RECORDING OF A CHANGE IN THE NAME, ADDRESS, OR CONTACT DETAILS OF THE HOLDER OR, WHERE THE HOLDER IS A LEGAL ENTITY, FOR THE RECORDING TO INTRODUCE OR CHANGE INDICATIONS CONCERNING ITS LEGAL NATURE

We strongly recommend that you use eMadrid to request a change of name and/or address of the holder, and/or where the holder is a legal entity, a change in legal nature. You can also use eMadrid to update the holder’s contact details (e-mail, phone number, alternative address and e-mail address for correspondence).

For use by the holder:	For use by the holder:

Number of continuation sheets:

Holder’s reference:

For use by the Office:	For use by the Office:

Office’s reference:

1. INTERNATIONAL REGISTRATION NUMBER(S) You may use this form for several international registrations of the same holder.

2. NAME OF THE HOLDER As recorded in the International Register.

3. CHANGE IN NAME OR ADDRESS OF THE HOLDER Indicate the change(s) by ticking the appropriate box(es) and providing the new name or new address.	3. CHANGE IN NAME OR ADDRESS OF THE HOLDER Indicate the change(s) by ticking the appropriate box(es) and providing the new name or new address.	3. CHANGE IN NAME OR ADDRESS OF THE HOLDER Indicate the change(s) by ticking the appropriate box(es) and providing the new name or new address.	3. CHANGE IN NAME OR ADDRESS OF THE HOLDER Indicate the change(s) by ticking the appropriate box(es) and providing the new name or new address.

(a)		New name:

(b)		New address:	New address:

4. CHANGE IN THE HOLDER’S CONTACT DETAILS If only item 4 is completed, there are no fees. Indicate the change(s) by ticking the appropriate box(es) and providing the e-mail address, phone number, alternative address and e-mail address for correspondence.	4. CHANGE IN THE HOLDER’S CONTACT DETAILS If only item 4 is completed, there are no fees. Indicate the change(s) by ticking the appropriate box(es) and providing the e-mail address, phone number, alternative address and e-mail address for correspondence.	4. CHANGE IN THE HOLDER’S CONTACT DETAILS If only item 4 is completed, there are no fees. Indicate the change(s) by ticking the appropriate box(es) and providing the e-mail address, phone number, alternative address and e-mail address for correspondence.	4. CHANGE IN THE HOLDER’S CONTACT DETAILS If only item 4 is completed, there are no fees. Indicate the change(s) by ticking the appropriate box(es) and providing the e-mail address, phone number, alternative address and e-mail address for correspondence.

(a)		New e-mail address:

(b)		New phone number:

(c)	New alternative address and e-mail address for correspondence:	New alternative address and e-mail address for correspondence:	New alternative address and e-mail address for correspondence:

	(i)	New postal address:	New postal address:


	(ii)	New e-mail address:

5. IF THE HOLDER IS A LEGAL ENTITY, RECORDING OF OR CHANGE IN THE INDICATIONS CONCERNING THE LEGAL NATURE OF THE HOLDER Provide both of the following indications.	5. IF THE HOLDER IS A LEGAL ENTITY, RECORDING OF OR CHANGE IN THE INDICATIONS CONCERNING THE LEGAL NATURE OF THE HOLDER Provide both of the following indications.

(a)	Legal nature of the legal entity:


(b)	State (country) and, where applicable, territorial unit within that State (canton, province, state, etc.), under the law of which the said legal entity has been organized:

6. SIGNATURE OF THE HOLDER AND/OR THEIR REPRESENTATIVE	6. SIGNATURE OF THE HOLDER AND/OR THEIR REPRESENTATIVE
Holder (as recorded in the International Register):	Holder (as recorded in the International Register):
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:

Representative of the holder (as recorded in the International Register):	Representative of the holder (as recorded in the International Register):
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:

7. SIGNATURE OF THE OFFICE PRESENTING THE REQUEST Where the request is presented through an Office.	7. SIGNATURE OF THE OFFICE PRESENTING THE REQUEST Where the request is presented through an Office.

(a)	Name of the Office:


(b)	Name and signature of the official signing on behalf of the Office:
	By signing this form, I declare that I am entitled to sign it under the applicable law:


(c)	E-mail address of the contact person in the Office:

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

	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

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		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 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 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

FEE CALCULATION SHEET	FEE CALCULATION SHEET	FEE CALCULATION SHEET	FEE CALCULATION SHEET
AMOUNT OF FEES	AMOUNT OF FEES	AMOUNT OF FEES	AMOUNT OF FEES

The fee is 150 Swiss francs, irrespective of the number of international registrations listed in item 1.	TOTAL (Swiss francs)	=	150

CONTINUATION SHEET	No.	of

MM9

同类别文书