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BRITISH VIRGIN ISLANDS

DECLARATION TO ACCOMPANY STATEMENT
FOR TRADEMARK REGISTRATION


I, , a duly authorized officer or director

of of

do hereby solemnly and sincerely declare to the best of my knowledge and belief as follows:

  1. The Statement signed by me and dated the day of , 20 and attached hereto and shown to me at the time of making this declaration is true.
  2. The description of the trade mark in such statement is a true description of the trademark for the registration of which I / the said company is applying
  3. I / the said company is lawfully entitled to the use of the trade mark of which the said description is a true description.

By:
Name:
Title:

Sworn before me at
this day of , 20





Notary Public