[별지 제18호서식] <개정 2004.5.1.> 사 후 지 정 신 청 서
MM4(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS DESIGNATION SUBSEQUENT TO THE INTERNATIONAL REGISTRATION (Rule 24 of the Common Regulations)
	IMPORTANT : 1. This subsequent designation must be presented to the Internatio- nal Bureau : (a) through the Office of Contracting Party of the holder where any Contracting Party is designated under the Agreement (b) through the Office of origin where Rule 7(1)(as in force before October 4,2001) applies (c) in all other cases, either directly by the holder or by the Office if the Contracting party of the holder. 2. The period of protection of subsequent designation expires on the same date as the international registration to which it relates.
[그림생략] World Intellectual Property Organization 34, chemin des Colombettes, P.O.Box 18, 1211 Geneva 20, Switzerland Tel : (41-22) 338 9111 Fax(International Trademark Registry) : (41-22) 740 1429 e-mail : intreg.mail@wipo.int Internet : http://www.wipo.int

DESIGNATION SUBSEQUENT TO THE INTERNATIONAL REGISTRATION
For use by the holder This subsequent designation conta- ins the follwing number of contin- uation sheets :				For use by the holder/Office Holder's reference : Office's reference :
[1] INTERNATIONAL REGISTRATION NUMBER :
[2] HOLDER OF THE INTERNATIONAL REGISTRATION (as recorded in the International Register) Name : Addres :
[3] APPOINTMENT OF A REPRESENTATIVE (do not complate this item it there is no change in the reprasentative already recorded in the International Register) Name : Address : Telephone : Fax : E-mail address : SIGNATURE OF THE HOLDER APPOINTING THE ABOVE (NEW) REPRESENTATIVE
[4] CONTRACTING PARTIES DESIGNATED SUBSEQUENT □AG Antigua and □DZ Algeria □KR Republic □RU Russian Barbuda □EE Estonia of Korea Federation □AL Albania □EG Egypt □KZ Kazakhstan □SD Sudan □AM Armenia □ES Spain □LI Liechtenstein □SE Sweden □AT Austria □FI Finland □LR Liberia ℓ □AU Australia □FR France □LS Lesotho □SG Singapore □AZ Azerbaijan □GB United □LT Lithuania □SI Slovenia □BA Bosnia and ℓ □LV Latvia □SK Slovakia Herzegovina Kingdom □MA Morocco □SL Sierra Leone □BG Bulgaria □GE Georgia □MC Monaco □SM San-Marino □BT Bhutan □GR Greece □MD Rep. of □SZ Swaziland

□BX Benelux     □HR Croatia         Moldova       □TJ Tajikistan

□BY Belarus     □HU Hungary    □MK The former    □TM Turkmenistan

□CH Switzerland             ℓ       Yugoslav      □TR Turkey

□CN China       □IE Ireland         Rep. Of       □UA Ukraine

□CU Cuba        □IS Iceland         Macedonia     □US united States

□CY Cyprus      □IT Italy                                         2

□CZ Czech       □JP Japan      □MN Mongolia           of American

Republic    □KE Kenya      □MZ Mozambique    □UZ Uzbekistan

□DE Germany     □KG Kyrgyzstan □NO Norway        □VN Viet Nam

□DK Denmark     □KP Democratic □PL Poland        □YU Yugoslavia

People's   □PT Portugal      □ZM Zambia

Republic   □RO Romania

of Korea

others :

ℓ By designating Ireland, Singapore or the United Kingdom, the holder

declares that he has the intention that the mark will be used by

him or with his consent in that country in connection with the

goods and services identified in the present subsequent

designation.

2 If the United States of America is designated, it is compulsory to

annex to the present subsequent designation the official form

(MM18) containing the declaration of intention to use the mark req-

uired by the Contracting Party.

[5] GOODS AND SERVICES CONCERNED BY THE SUBSEQUENT DESIGNATION(check only one box)

(a) □ the subsequent designation is made, in respect of all the

Contracting Parties designated in item 4, for all the goods

and services listed in the international registration

indicated in item 1 : or

(b) □ the subsequent designation is made in respect of all the

Contracting Parties designated in item 4, only for those goods

and services listed in the continuation sheet(which must be

grouped in the appropriate class(es)) : or

(c) □ the subsequent designation is only for those goods and services

listed in the continuation sheet in respect of the Contracting

Parties identified in the said continuation sheet; in respect

of the other Contracting Parties designated in item 4, the sub-

sequent designation is for all the goods and services listed in

the international registration identified in item 1.

[6] MISCELLANEOUS INDICATIONS

(a) Indications concerning the holder(as may be required by certain

designated Contracting Parties)

(ⅰ) if the holder is a natural person, nationality of the holder :

(ⅱ) if the holder is a legal entity :

- legal nature of the legal entity :

- State and, where applicable, territorial unit within that

State, under the law of which the legal entity is organized

:

(b) Indication, for each color, of the principal parts of the mark

that are in that color(as may be required by certain designated

Contracting Parties) :

(c) Translation of the mark(as may be required by certain designated

Contracting Parties) :

(ⅰ) into English:

(ⅱ) into French:

(d) if the words contained in the mark have no meaning(and therefor

cannot be translated), check this box □

[7] DATE OF EFFECT OF THE SUBSEQUENT DESIGNATION

(If neither of these boxes is checked, the data of this subsequant

designation will be the data of its receipt by the International

Bureau or, if it has been presented through the intercoadiary of an

Office, the data of receipt by that Office)

(a) □ this subsequent designation shall taks effect immediately after

the renewal of the international registration indicated in item

1 :

(b) □ this subsequent designation shall taks effect immediately after

the recording in the international Register of the following

change concerning the international registration indicated in

item 1 (specify the change) :

[8] SIGNATURE BY THE HOLDER OR HIS REPRESENTATIVE Holder Representative of holder (as recorded in the International (as recorded in the International Register) Register) Signature : Name : Signature : Signature :
[9] DATE OF RECEIPT AND DECLARATION BY THE OFFICE (where the subsequent designation is presented through an Office) (a) Date of receipt of the subsequent designation by the Office : (dd/mm/yyyy) (b) Declaration that the basic application has matured to registration :
	Only applicable where : - the subsequent designation relates to an internation registration which was based on a basic application ; - the present subsequent designation is the first designation a Contractiong Party nuder the Agreement, and - It is prsented through the Office of origin.
(ⅰ) Date of the registration resulting from the basic application : (dd/mm/yyyy) (ⅱ) Number of the registration resulting from the basic application :
[10] OFFICE PRESENTING THE SUBSEQUENT DESIGNATION (if applicable) Name Of the Office Signature and/or stamp of the Office

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; METHOD OF PAYMENT Basic fee (300 Swiss francs) Complementary fees ; Number of designations for which complementary Complementary Total amount of the fee is applicable fee 73 Swiss complementary fees × francs ＝ ＝〉 Individual fees(Swiss francs):
	Designated Designated Contracting Individual fee Contracting Individual fee Parties Parties
Total individual fees ＝〉 Grand total
Identity of the party effecting the payment: Payment received and WIPO receipt number acknowledged by WIPO □ Payment made by Check identification dd/mm/yyyy banker's cheque □ (attached)

Payment made by         Check identification      dd/mm/yyyy

banker's cheque       □

(sent separately)

Payment made to WIPO    Payment identification    dd/mm/yyyy

bank account No CH35 □

0425 7080 8100 0

Credit Suisse, CH-1211

Geneva 70

Swift : CRESCH ZZ12A

Payment made to WIPO    Payment identification    dd/mm/yyyy

postal cheque account □

No 12-5000-8, Geneva

CONTINUATION SHEET         No:        of