In the matter of the Trade Marks Law, 1951,

(and

where the application is in respect of a trade mark already registered,

In re Trade Mark No.                                  of A.B.                                  .)

In the Supreme Court of Cyprus.

Application by X.Y. of                                 

1. The applicant applies for an order directing that

(Set out the nature of order applied for.)

2. The facts on which this application is founded are stated in the accompanying affidavit(s).

3. The applicant relies on (set out specific section of Law or specific rules relied upon).

4. The applicant's address for service in Nicosia is                                  .

5. It is intended to serve                                  .

(Signed) X.Y.,                      

Applicant.                      

Filed on                                  .

The application is fixed for hearing at                       on the                       .

Chief Registrar.