MM11(E), page 1

MM11(E)
MADRID AGREEMENT AND PROTOCOL CONCERNING THE
INTERNATIONAL REGISTRATION OF MARKS
RENEWAL OF THE INTERNATIONAL REGISTRATION
(Rule 30 of the Common Regulations)
IMPORTANT
  1. The use of this form is optional. We strongly recommend that you use E-renewal, when paying with a credit card or debiting from a WIPO current account. E-renewal is available at:
  2. You can present this request directly to the International Bureau.
  3. You cannot renew the international registration for goods and services in respect of which the international registration is cancelled or in respect of any designated Contracting Party for which a total invalidation or a renunciation has been recorded; in addition, you cannot renew the international registration in respect of any designated Contracting Party for goods and services affected by partial invalidation or limitation.
  4. You can renew the international registration in respect of any designated Contracting Party that has refused protection, under Rule18ter of the Common Regulations, but you must indicate so in items3 and, where applicable, 4 of this form and pay the corresponding fees.
This cover page must not be sent to the International Bureau.

Madrid System – Contacts
Madrid Customer Service opening hours:
Monday – Friday, 9:00 a.m. to 6:00 p.m. (Geneva time)
Telephone: + 41 22 338 86 86
Inquiries / submitting forms: / Mailing address
Madrid Operations Division
Madrid Registry
Brands and Designs Sector
World Intellectual Property Organization (WIPO)
34, Chemin des Colombettes
1211 Geneva 20
Switzerland

MM11(E) – June2018

MM11(E), page 1

MM11(E)
RENEWAL OF THE INTERNATIONAL REGISTRATION
For use by the holder
This renewal contains the following number of continuation sheets:
Holder’s reference: / For use by the Office
Office’s reference:
INTERNATIONAL REGISTRATION NUMBER
NAME OF THE HOLDER
(as recorded in the International Register)
CONTRACTING PARTIES FOR WHICH RENEWAL IS requested
You must indicate below ALL the designated Contracting Parties for which you want to renew this international registration.
You may renew the international registration in respect of a Contracting Party that has refused protection for all goods and services,following the recording of a statement sent under Rule 18ter of the Common Regulations. The registration will be renewed in respect of that Contracting Party for all the goods and services, by filling in this item solely. This may be useful, pending the outcome of further proceedings in the Contracting Party concerned.
You may also renew the international registration in respect of a Contracting Party that has refused protection for some of the goods and services, following the recording of a statement sent under the aforementioned Rule, by filling in this item solely. The registration will be renewed in respect of that Contracting Party for only the goods and services protected. However, if you want to renew the international registration in respect of this Contracting Party for all goods and services, you must, in addition to this indication, provide the indication required in item 4 of this form.
AFAfghanistan
AGAntigua and Barbuda
ALAlbania
AMArmenia
ATAustria
AUAustralia
AZAzerbaijan
BABosnia and Herzegovina
BGBulgaria
BHBahrain
BNBrunei Durassalam
BQBonaire, Saint Eustatius and Saba1
BTBhutan
BWBotswana
BXBenelux
BYBelarus
CHSwitzerland
CNChina
COColombia
CUCuba
CWCuraçao1
CYCyprus
CZCzech Republic
DEGermany
DKDenmark
DZAlgeria / EEEstonia
EGEgypt
EMEuropean Union2
ESSpain
FIFinland
FRFrance
GBUnited Kingdom
GEGeorgia
GHGhana
GMGambia
GRGreece
HRCroatia
HUHungary
IDIndonesia
IEIreland
ILIsrael
INIndia
IRIran (Islamic Republicof)
ISIceland
ITItaly
JPJapan
KEKenya
KGKyrgyzstan
KHCambodia
KPDemocratic People’s Republic of Korea
KRRepublic of Korea
KZKazakhstan / LALao People’s Democratic Republic
LILiechtenstein
LRLiberia
LSLesotho
LTLithuania
LVLatvia
MAMorocco
MCMonaco
MDRepublic of Moldova
MEMontenegro
MGMadagascar
MKThe former Yugoslav Rep. of Macedonia
MNMongolia
MXMexico
MZMozambique
NANamibia
NONorway
NZNew Zealand
OAAfrican Intellectual Property Organization (OAPI)3
OMOman
PHPhilippines
PLPoland
PTPortugal
RORomania / RSSerbia
RURussian Federation
RWRwanda
SDSudan
SESweden
SGSingapore
SISlovenia
SKSlovakia
SLSierra Leone
SMSan Marino
STSao Tome and Principe
SXSint Maarten (Dutchpart)1
SYSyrianArabRepublic
SZEswatini
THThailand
TJTajikistan
TMTurkmenistan
TNTunisia
TRTurkey
UAUkraine
USUnited States of America
UZUzbekistan
VNViet Nam
ZMZambia
ZWZimbabwe
Others:
1Territorial entity previously part of the Netherlands Antilles.
2The designation of the European Union covers the following Member States: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom.
3The designation of the African Intellectual Property Organization covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d’Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo.
RENEWAL FOR ALL GOODS AND SERVICES IN RESPECT OF CONTRACTING PARTIES WHERE PROTECTION HAS BEEN PARTIALLY REFUSED, FOLLOWING THE RECORDING OF A STATEMENT SENT UNDER RULE 18TEROF THE COMMON REGULATIONS
You may still renew the international registration for all goods and services in respect of a Contracting Party that has partially refused protection, following the recording of a statement sent under Rule 18ter.
You must indicate below the Contracting Parties in respect of which you want to renew the international registration for all goods and services, despite the fact that protection has been partially refused,following the recording of the aforementioned statement. This may be useful, pending the outcome of further proceedings in the Contracting Party concerned.
An indication provided below will not be taken into account if the Contracting Party concerned has not been indicated in item3 of this form.
AFAfghanistan
AGAntigua and Barbuda
ALAlbania
AMArmenia
ATAustria
AUAustralia
AZAzerbaijan
BABosnia and Herzegovina
BGBulgaria
BHBahrain
BNBrunei Durassalam
BQBonaire, Saint Eustatius and Saba1
BTBhutan
BWBotswana
BXBenelux
BYBelarus
CHSwitzerland
CNChina
COColombia
CUCuba
CWCuraçao1
CYCyprus
CZCzech Republic
DEGermany
DKDenmark
DZAlgeria / EEEstonia
EGEgypt
EMEuropean Union2
ESSpain
FIFinland
FRFrance
GBUnited Kingdom
GEGeorgia
GHGhana
GMGambia
GRGreece
HRCroatia
HUHungary
IDIndonesia
IEIreland
ILIsrael
INIndia
IRIran (Islamic Republicof)
ISIceland
ITItaly
JPJapan
KEKenya
KGKyrgyzstan
KHCambodia
KPDemocratic People’s Republic of Korea
KRRepublic of Korea
KZKazakhstan / LALao People’s Democratic Republic
LILiechtenstein
LRLiberia
LSLesotho
LTLithuania
LVLatvia
MAMorocco
MCMonaco
MDRepublic of Moldova
MEMontenegro
MGMadagascar
MKThe former Yugoslav Rep. of Macedonia
MNMongolia
MXMexico
MZMozambique
NANamibia
NONorway
NZNew Zealand
OAAfrican Intellectual Property Organization (OAPI)3
OMOman
PHPhilippines
PLPoland
PTPortugal
RORomania / RSSerbia
RURussian Federation
RWRwanda
SDSudan
SESweden
SGSingapore
SISlovenia
SKSlovakia
SLSierra Leone
SMSan Marino
STSao Tome and Principe
SXSint Maarten (Dutchpart)1
SYSyrianArabRepublic
SZEswatini
THThailand
TJTajikistan
TMTurkmenistan
TNTunisia
TRTurkey
UAUkraine
USUnited States of America
UZUzbekistan
VNViet Nam
ZMZambia
ZWZimbabwe
Others:
1Territorial entity previously part of the Netherlands Antilles.
2The designation of the European Union covers the following Member States: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom.
3The designation of the African Intellectual Property Organization covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d’Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo.
SIGNATURE
By signing this form, I declare that I am entitled to sign it under the applicable law:
Name:
Signature:

FEE CALCULATION SHEET

(a)INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT
The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with the International Bureau (if this box is checked, it is not necessary to complete (b)).
Holder of the account: Account number:
Identity of the party giving the instructions:
(b)AMOUNT OF FEES
Basic fee (653 Swiss francs)
Where applicable, surcharge for the grace period (326.50 Swiss Francs)
Complementary and supplementary fees:
Number of designations for which complementary fee is applicable
x /
Complementary fee
100 Swiss francs /
Total amount of the
complementary fees
= /
=>
Number of classes of goods and services beyond three
x /
Supplementary fee
100 Swiss francs /
Total amount of the
supplementary fees
= / =>
Individual fees (Swiss francs):
Designated Contracting Parties / Individual fee / Designated Contracting Parties / Individual fee
Total individual fees / =>
Grand total (Swiss francs)
(c)METHOD OF PAYMENT
Identity of the party effecting the payment:
Payment received and acknowledged by WIPO / WIPO receipt number
Payment made to WIPO bank account
IBAN No. CH51 0483 5048 7080 8100 0
Crédit Suisse, CH-1211 Geneva 70
Swift/BIC: CRESCHZZ80A / Payment identification / dd/mm/yyyy
Payment made to WIPO postal account (withinEurope only)
IBAN No. CH03 0900 0000 1200 5000 8
Swift/BIC: POFICHBE / Payment identification / dd/mm/yyyy

MM11(E) – June2018

CONTINUATION SHEET / No: ...... of ......

特許庁へ支払う手数料の納付書記載見本

dd/mm/yyyy
Holder's name:
International registration number:
Holder's reference:
特許印紙 / 特許印紙 / 特許印紙
（４，２００Yen）

（注）用紙はＡ４判で作成して下さい。