/ IntellectualPropertyOfficeofthePhilippines / DocumentNo.
IPOPHL-SOP-BOT-01-F05
BureauofTrademarks / Rev.No.03
ASSIGNMENTOFAPPLICATIONFORREGISTRATIONOFTRADEMARK
(OptionalForm) / Issuedby:BOT / Date:10/01/2017

KNOW ALLMENBYTHESEPRESENTS:

Thisassignmentofapplicationforregistrationoftrademark

(titleofthemark)

executebyandbetween:

[NameofApplicant(s)/Assignor(s)]

of

[Address(es)ofApplicant(s)/Assignor(s)]

hereinaftercalledtheASSIGNOR(S), and

[NameAssignee(s)]

[Address(es)ofAssignee(s)]

hereinaftercalledtheASSIGNEE(S).

WITNESSETH:

1.ThattheASSIGNOR(S)has/havebusiness/services,forwhichhe/she/it/they/has/havefiledan

application for registration in the Intellectual Property Office on ApplicationNumber ;

under

2.ThattheASSIGNEE(S)is/aredesirousofacquiringinandtothesaidapplicationandintheregistrationthatshallmaturethereon;

3.Thatgoodandvaluableconsideration,receiptofwhichisherebyacknowledged,theASSIGNOR(S)does/doherebysell,assignand transferuntothesaid ASSIGNEE(S)alltheright,titleandinterestinandtothehereinsubjectTrademarktogetherwiththegoodwillofthebusinessthathasaccruedits use;and

4.ThattheASSIGNEE(S)byvirtuehereof,does/doherebyappointFEDERIS & ASSOCIATES LAW OFFICES of Suites 2004 and 2005, 88 Corporate Center, 141 Valero corner Sedeño Street, Salcedo Village, Makati City 1227, Philippines,asagentorasattorneyorrepresentativeinthePhilippines,tofacilitatetherecordingofthisAssignment,toprosecutethehereinapplicationforregistrationtoreceivethecertificateofregistration,totransactallbusinessintheIntellectualPropertyOfficeinconnectiontherewith,anduponwhommaybeservethecorrespondingnoticesorprocessthereof.

5.TheASSIGNOR(S)is/arebig/smallentity(ies).TheASSIGNEE(S)is/arebig/small entity(ies).

6.Thisis/isnot_afirstassignmentofapendingapplicationofmark/namefromasmall to a bigentity.

*Asmallentityshallbeconstruedasanybusinessenterpriseengagedinanybusinessactivityorindustry,agri-businessand/orserviceswhethersingleproprietorship,cooperative,partnershiporcorporation,whosetotalassetisPhp100Millionorless;otherwiseitshall beconsideredasabigentity.

InWITNESSWHEREOF,THEundersignedASSIGNOR(S)andASSIGNEE(S)haveexecutedthesepresentthisdayof ,20 at _.

_

ASSIGNOR(S)ASSIGNEE(S)

Signedinthepresenceof:

WitnessWitness

ACKNOWLEDGEMENT

_)

:S.S.

_)

BEFOREME,NotaryPublicforandin

personallyappeared:_

knowntometobesamepersonswhoexecutetheforegoinginstrument,andtheyacknowledgedtomethatthesameistheirfreeactanddeed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal this

day, 20, at ,Philippines.

NOTARYPUBLIC

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