MM21(E)

MADRID AGREEMENT AND PROTOCOL CONCERNING THE

INTERNATIONAL REGISTRATION OF MARKS

REQUEST FOR THE CORRECTION OF A RECORDING

(Rule 28 of the Common Regulations)

IMPORTANT

1. The use of this form is not compulsory. It is made available for the convenience of holders of international registrations and Offices of Contracting Parties.

2. Errors made by the International Bureau can be corrected at any time.

3. Errors made by an Office can be corrected only if a request for correction, presented by that Office, is received by the International Bureau within nine months from the date of publication of the recording in the International Register which is the subject of the correction.

4. Errors made by the applicant, holder or representative cannot be corrected.

This cover page must not be sent to the International Bureau.

Madrid System – Contacts

Madrid Customer Service opening hours:Monday – Friday, 9:00 a.m. to 6:00 p.m. (Geneva time)Telephone: + 41 22 338 86 86

Inquiries / submitting forms: http://www.wipo.int/madrid/en/contact/

Mailing address

Madrid Operations DivisionMadrid RegistryBrands and Designs SectorWorld Intellectual Property Organization (WIPO)34, Chemin des Colombettes1211 Geneva 20Switzerland

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MM21(E) – November 2017

MM21(E)REQUEST FOR THE CORRECTION OF A RECORDING

For use by the holder

This form includes the following number of continuation sheets:

Holder’s reference:

For use by the Office

This form includes the following number of continuation sheets:

Office’s reference:

INTERNATIONAL REGISTRATION NUMBER(Please, provide the international registration number (and the letter, if any). Type one digit in each box. For example, for international registration number 123456A, type 123456A)

REFERENCE NUMBER

(a) If the holder or his/her representative requests the correction:

WIPO REFERENCE NUMBER(Please, provide the 9 or 10-digit number that appears in the notification as part of the WIPO reference number. Type one digit in each box. For example, for reference number 806/123456789, type: 123456789)

(b) If the Office requests the correction:

WIPO NOTIFICATION NUMBER(Please, provide the 3-letter and the 6-digit number that appear in the notification. Type one letter or digit in each box. For example, for reference number ENN/2014/01, type: ENN201401)

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DESCRIPTION OF THE REQUESTED CORRECTION(Please, provide details of the error to be corrected)

If the space provided above is not sufficient, check the box and use a continuation sheet.

PRESENTATION AND SIGNATURE

(a) The request is presented by (please, check the appropriate box):

(i) Holder(ii) Representative of the holder(iii) Office

By signing this form, I declare that I am entitled to sign it under the applicable law:

(b) Name:

(c) Signature:

(d) E-mail address:

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CONTINUATION SHEET No: .......... of ..........

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