BEFORE THE INTELLECTUAL PROPERTY APPELLATE BOARD Fee Rs.5000/- FORM 2 APPEAL UNDER SECTION 91 OF THE TRADE MARKS ACT, 1999 IN RESPECT OF GOODS OR SERVICES FALLING IN ONE CLASS (To be filed in triplicate) Title of the Case: INDEX | Sl. No. | Description of documents relied upon | Page No. |
1. 2. 3. 4. _______________________________________________________________ Signature of the Appellant For use in the Board Office Date of filing Or Date of receipt by post Registration No. Signature for Deputy Registrar BEFORE THE INTELLECTUAL PROPERTY APPELLATE BOARD A.B. (add description such as full name, nationality, address, registered office
) APPELLANT Vs. C.D. (add description such as full name, nationality, address, registered office and the residential or official address on which the service of notices is to be effected on the respondent or respondents. The details of each respondent are to be given in a chronological order). RESPONDENT DETAILS OF APPEAL: 1. Particulars of the order against which the appeal is made: (Particulars of the order giving the details like the number, date and authority which has passed the order against which the appeal is made.) 2. Jurisdiction of the Board: The appellant declares that the subject matter of the order against which he wants redressal is within the jurisdiction of the Board. 3. Limitation: The appellant further declares that the appeal is within the limitation period prescribed in section 91(1) of the Trade Marks Act, 1999. 4. Facts of the case: (Give here a concise statement of facts in a chronological order, each paragraph containing as nearly as possible a separate issue or fact.) 5. Grounds for relief with legal provisions: 6. Matters not previously filed or pending with any other court: The appellant further declares that he had not previously filed any appeal, writ petition or suit before any court or any other authority regarding the matter in respect of which this appeal has been made. (In case the appellant had previously filed any such appeal, writ petition or suit, the stage at which it is pending, and if decided, the list of the decisions should be given with reference to the number of Annexure to be given in support thereof.) 7. Reliefs sought: In view of the facts mentioned above the appellant prays for the following relief(s):- (Specify the relief(s) sought explaining the grounds for such relief(s) and the legal provisions, if any relied upon). 8. Particulars of Bank Draft. 9. List of enclosures: 1. 2. 3. 4. 10. All communications relating to these proceedings may be sent to the following address in India:-
.......
. VERIFICATION I
(Name of the appellant) age
of
. nationality, resident of
do hereby verify that the contents of paras
. to
. are true to my personal knowledge and paras
to
.. are believed to be true on legal advice and that I have not suppressed any material fact. Dated, this
..day of
. Place: Signature of the Appellant (FULL NAME OF THE SIGNATORY) To, The Deputy Registrar, Intellectual Property Appellate Board Annexe 1, Guna Complex, II Floor, 443, Anna Salai, Teynampet, Chennai- 600 018 | 