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Kingdom of Cambodia
Nation â Religion â King
Ministry of Commerce
Intellectual Property Division
APPLICATION FOR REGISTRATION OF THE MARK
To: The Director of Intellectual Property Division, Ministry of
Commerce
- Applicant:
- Nationality/State
of incorporation:
- Address
of Applicant:
- Mark:
Trademark:â¦â¦â¦.
Service Mark:â¦â¦â¦â¦
- Description
of Mark (in case of device/logo/design mark):
- Claim
of color (if any):
- Class(s):
- Goods/Services:
- Priority
Claim (date): (If any)
- Attorney/Agentâs
Name and Address:
- Foreign
Attorney:
- Local:
Agent:
GoCambodia
170
Norodom Boulevard
Phnom
Penh 12301, Cambodia
Tel:
(855) 23 21-2004, Fax: (855) 23 21-2005
- Document
accompanying the application:
- Notarized
Power Of Attorney: One original copy
- Specimen
of Mark: 15 pieces
- Claiming
priority document (if any):
Date:D:â¦â¦â¦â¦M:â¦â¦â¦â¦â¦.Y:â¦â¦â¦â¦..
-----------------------------------
(Name
and Signature of the agent)
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