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Company Name:* (put N/A if not applicable)
Contact Person:*
Address1:*
Address2:
City:*
State/Region/Province:*
Country:*
Zip:*
Tel No:* (Country Code) (Phone Number)
Mobile No:* (Country Code) (Mobile Number)
Fax No:* (Country Code) (Fax Number)
Email Address: *
Domain Name
Applying for Phase
Registered TradeMark *
 

The full name of the body, that corresponds to the Domain name applied for. This field may optionally include a URL pointing to supporting documentation e.g. ABC company ltd.
[http://company.ltd/trademark.pdf].

Pre-Verification Number
 
A verification no. supplied by the DOTAsia verification agent for any application which has already been verified and approved.
TradeMark Registered in *
 
Location (country/economy) where the right is established.
TradeMark Registration No. *
 
Registration or serial number of the registered mark's current registration. This number must enable the verification agent to access the correct registration entry in the trademark registry or trademark office.
TradeMark Applied On
 
Exact date when the registered mark was applied (corresponding to the registration described by the registration number and registration locality).
TradeMark Registered On *
 
Exact Date on which the registration of registered mark becomes effective. (The day for which the mark is issued and registered).
TradeMark Registered As *
  http://wipo.int/classifications/nivilo/nice/index.htm
 
Class of the registered mark. If more than one class has been registered with the domain, any one can be used.
Entitlement *
 
Weather the applicant (corresponding to the registrant contact) holds the trademark as the original “OWNER”, “CO-OWNER” or “ASSIGNER”.
Entity Type *
Identification Type *
Certficate Of Incorporation or equivalent business certificate issued by the relevent government registry as confirmation of the due incorporation and valid existence of the company
 
Act,decree or legislation chartering the information of an Entity
 
Societies Registry or equivalent registry for non-cooperate entities
  Political Parties Registry
  Passport or Citizenship ID
  Other
Identification Number *
 
Code of reference (e.g. Passport number, business certificate number, act or legislation number/code, etc.).
Upload Scanned TradeMark Document *
Employee Name/ Code
 
Code of reference (e.g. Passport number, business certificate number, act or legislation number/code, etc.).
Note:
1.) I have read, understood and abide the eligibility criteria
2.) Non-refundable processing fee to be charged 4,000 (in INR)/ 100 (in USD) per domain.
  I Accept Terms & Conditions