APPLICATION FORM

NAME OF COMPANY: RUP WATER FACTORY

TYPE OF ORGANISATION : PRPPRIETORSHIP

NAME OF APPLICANT: SHARMISTHA MANDAL HALDAR

NAME OF APPLICANT’S FATHER:BISWANATH HALDAR

ADDRESS FOR SERVICE (COMPANY ADDRESS): VILL-NEMUA,MUCHIA,PO-MUCHIA,PS-OLD

MALDA,PIN-732121,DIST-MALDA

STATE:WEST BENGAL

DISTRICT:MALDA

ACTIVITY OF THE COMPANY: MANUFACTURER OF PACKAGED DRINKING WATER AND JUICE

CLASS:

EMAIL ID OF THE APPLICANT:chakrabartyuddipta@gmail.com

PHONE NO. / MOBILE NO.:8250446614

CATEGORY OF MARK/brand name : dibya jal

DATE OF COMMENCEMENT OF BUSINESS/ DATE OF INCORPORATION: 11.02.2024

Associated mark (if any) (appl no) :

NO OF TRADE MARKS AMOUNT (Rs) / TM TOTAL AMOUNT (Rs)

GOVT FEES
ATTORNEY FEES
GST @ 18% (If Applicable)
TOTAL FEES

** IN CASE OF OBJECTION REPLY :

NO OF TRADE MARKS AMOUNT (Rs) / TM TOTAL AMOUNT (Rs)

GOVT FEES
ATTORNEY FEES
GST @ 18% (If Applicable)
TOTAL FEES

** IN CASE OF ATTENDING THE HEARING :

NO OF TRADE MARKS AMOUNT (Rs) / TM TOTAL AMOUNT (Rs)

GOVT FEES
ATTORNEY FEES
GST @ 18% (If Applicable)
TOTAL FEES
OTHER DOCUMENTS: TRADE LICENSE / INCORPORATION CERTIFICATE/ TRUST DEED /
PARTNERSHIP DEED

I hereby verify that above mentioned facts are true to best of my knowledge and belief.

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Accepted and Understood