THE GEOGRAPHICAL INDICATIONS OF GOODS (REGISTRATION & PROTECTION) ACT, 1999
FORM GI-3
A
Application for the registration of an authorised user
Section 17(1), Rule 56(1)
Fee
: Rs.500/- (See entry No.3 (A) of the First Schedule)
(To be filed in triplicate accompanied by the agreement, if any, between the registered proprietor and the proposed authorised user or duly authenticated copy thereof, and other documents mentioned in rule 56 along with an affidavit setting forth particulars and statements required by rule 56 and with two copies of each of the aforesaid documents)
Application is hereby made by1________________who is (are) the registered proprietor(s) of the geographical indication2___________
registered in class_________ in respect of goods _________ and
____________being the proposed authorised user in Part B of the Register of the above mentioned registered geographical indication . A statement of case of hose the applicant claims to be producer is enclosed herewith. A copy of consent letter from the Registered Proprietor is enclosed/not enclosed.
All communications relating to this application may be sent to the following address inIndia:-
Dated this ...................... day of ....................... 20...........
3..............................................
Signature
B
Request for issuance of Registration Certificate as an authorised user
Section 16(2)17(3)(g), Rule 59(1)
Fee: Rs.100 (See entry No.3B of the First Schedule).
The Registrar is hereby requested under Section 17(3)(g)) read with rule 59(1) to issue the Authorised User Certificate in respect of application No. _________for the registered geographical indication _________under registered No .__________in Class __________in Part B of the Register.
Dated this ...........day of........20.....
1................................................
Signature
For instruction please see overleaf
THE GEOGRAPHICAL INDICATIONS OF GOODS (REGISTRATION & PROTECTION) ACT, 1999
FORM GI-3
C
Renewal of registration of authorized user
Section 18(2), rule 60(1)
Fee: Rs.1000.00 (See entry No.3-C of the First Schedule)
I (or We)1............................hereby leave the prescribed fee of Rs........... for renewal of registration of the authorized user No................... in class ........ The notice of renewal of registration may be sent to the following address inIndia:-
Dated this ................. day of
......................20.
2.....................................................
Signature
Name of Signatory
(in Block Letters)
To
The Registrar of Geographical Indications,
The office of the Geographical Indications Registry.
1. Insert full name and address of the authorized user.
2. Signature of the authorized user or his agent.
3. State the name of the place of the appropriate office of the Geographical Indications Registry - See rule 4.
Note.- This form will be returned if it is filed more than six months before the expiration of the last registration.
To
The Registrar of Geographical Indications
The office of Geographical Indication Registry.
GI-31A