3/10/2021

Receipt No.: 2805562 Date:

09/03/2021 19:28:38
Amount: Rs.4500/-
Applica on No: 4896554

FORM TM- A
The Trade Marks Act, 1999
Application For Registration Of a Trademark
On application to register a trade mark for a specification of goods or services included in one
class [section 18(1)]

Temp. Ref. No: 5478509

NATURE OF
A TRADE MARKS APPLICATION
APPLICATION:
APPLICATION FILED AS: Individual/Sole Proprietor
FEE: 4500
APPLICANT
Applicant No. 1
Name MANJUNATH M
# 56/4, 4th Floor, 1st Main, Near Chamundeshwari Temple
Address
Sudhamnagar, Bangalore-560027
Country India
Jurisdiction CHENNAI
C-102, Calypso, Bloomfield, Amit Enterprises Housing,Nr. Gold
Address for Service Gym, NH-4, Mumbai-Bangalore Highway,Sinhagad Road,
Ambegaon (BK), Pune-411 046
Mobile No.
Email Address ipr@startupwala.com
Nature of Applicant Single Firm
Legal Status Individual
APPLICANT'S AGENT (If Any):
Name NADAR VENNILA
C-102, Calypso, Bloomfield, Amit Enterprises Housing,Nr. Gold
Address Gym, NH-4, Mumbai-Bangalore Highway,Sinhagad Road,
Ambegaon (BK), Pune-411 046
Nature of Agent Advocate
Registration No.
MARK DETAILS
Category of Mark DEVICE
Trade Mark Proword (With Device)
IMAGE OF WORDMARK REPRESENTED GRAPHICALLY
Image Description
WITH DESIGN
1/2
3/10/2021

Trademark Image:

IF MARK IN A LANGUAGE OTHER THAN HINDI OR ENGLISH

Language English
CONDITIONS OR LIMITATIONS TO USE THE TRADEMARK, IF ANY

CLASS OF GOODS OR SERVICE

Class: 25 Description: Clothing, footwear, headwear
STATEMENT AS TO USE
Proposed to be used
OF MARK
ANY OTHER IMPORTANT INFORMATION OR STATEMENT

I hereby verify that above mentioned facts are true to best of my

VERIFICATION
knowledge and belief.
Date 09-03-2021 11:51 AM
Digitally Signed By
Vennila Balamurugan Nadar

for NADAR VENNILA

Attachment Detail
Authorization Document (POA)

2/2