Application for registration of a registered user. 1. The undersigned, _________ the owner of the trade-mark "_________," registration _________ and _________, the full post office address of whose principal office or place of business is _________ apply for the registration of the latter as a registered user of the trade-mark in respect of all the wares and/or services for which the trade-mark is or will be registered subject to the maintenance of the relationship and the observance of the conditions and restrictions set out in the following paragraphs: 2. The relationship between the owner of the trade-mark and the proposed registered user and any conditions or restrictions with respect to the permitted use are as follows: (a) the owner of the trade-mark and the proposed registered user are related companies within the meaning of Section 2 of the Trade-Marks Act; (b) the proposed registered user shall be entitled to use the trade-mark in association with the wares and/or services mentioned above and of which standard and quality have been approved by the owner of the trade-mark, who shall be entitled to inspect the premises of the proposed registered user and to be provided at reasonable intervals, with samples of the wares. 3. The proposed permitted use is without definite period. 4. The proposed registered user appoints _________ whose full post office address is _________, as the firm to whom any notice in respect of its application or registration may be sent and upon whom service of any proceedings in respect of the application or registration may be given or served with the same effect as if they had been given to or served upon it. At _________ on _________[DATE] _________("THE OWNER") per: _________ Name Title At _________ on _________[DATE] _________("THE USER") per: _________ Name Title