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Declaration of Actual Use: Registration No.: Date Issued
Declaration of Actual Use: Registration No.: Date Issued
(This Declaration of Actual Use required to be made pursuant to Sec. 124.2 and Sec 145 of R.A 8293,
otherwise the application shall be refused or the mark shall be removed from the Register.)
Please check one:
_______________________________________________________________________________________
I, ______________, of legal age, Filipino citizen, under oath, depose and state:
1. I am the
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6. As proof of actual use, attached are five (5) labels or pictures of the Mark;
7. This affidavit is executed to attest to the truth of the foregoing and for the purpose of complying with
the requirements of R.A. 8293 and the Trademark Regulations.
Affiant
SUBCRIBED AND SWORN TO before me this ________________________, affiant exhibiting to
me her __________________________.