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Borang Cap Dagangan

Fee Code
TMA2

INTELLECTUAL PROPERTY CORPORATION OF MALAYSIA
TRADEMARKS ACT 2019 Masukkan nombor rujukan
APPLICATION FOR REGISTRATION OF TRADEMARK jika permohonan berkaitan
dengan permohonan yang
lepas.
PAS Reference No. (if any):

Fee applicable for this request is for each class. Please indicate number of classes requested 30 Kelas 30 untuk produk
makanan.
1 APPLICANT [If there is more than one applicant mark off this box and fill additional information]: ☐

a Full Name:

Isikan nama penuh.

b Applicant type (Specify
whether Masukkan
maklumat syarikat
Person/individual, body
corporate, partnership, jika pemohon
LLP, association/body sebuah syarikat.
authority or Other)

c Company Registration
No. (For company or
businesses registered in
Malaysia only)

d Business Address Masukkan
maklumat
• If the address is not
syarikat.
within Malaysia, you
must also complete Postcode: Town:
section 2 below
State/Country:
• If you want to use an

address other than the
business address, please
also complete item 3
e Telephone (For Malaysian Nombor yang boleh
applicant only) dihubungi.

f Mode of Correspondence
☐ (Mark off this box if you would like us to correspond with
you using our Electronic Filing System services. You must
have a registered ID)

g Applicant’s Reference (If
any and no agent
appointed)

Tandakan √ jika
anda bercadang
untuk menggunakan
Rujukan pemohon jika anda tidak perkhidmatan pengisian
menggunakan khidmat agen. secara elektronik.

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