[별지 제19호서식] <개정 2004.5.1> 국제등록존속기간갱신신청서
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 not compulsory. It is made available for the convenience of holders of international registrations 2. The international registration may be not be renewed in relation to any designated contracting Party in respect of which a tatal invalidation or a renunciation has been recorded. However, in the case of partial invalidation, the international registration may be renewed in respect of any designated Contracting Party for those goods and services for which an invalidation has not been recorded.
[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

RENEWAL OF THE INTERNATIONAL REGISTRATION
For use by the holder This renewal contains the followi- ng number of continuation sheet :		For use by the holder/Office Holder's reference : Office's reference :
[1] INTERNATIONAL REGISTRATION NUMBER :
[2] NAME OF THE HOLDER (as recorderd in the International Register)
[3] CONTRACTING PARTIES FOR WHICH RENEWAL IS SOUGHT Indicate below the designated Contracting Parties for which the international registration indicated in item 1 is to be renewed (including, where applicable, those Contracting Parties in respect of which a total refusal is recorded in the international Register) □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 □SG Singapore □AU Australia □FR France □LS Lesotho □SI Slovenia □AZ Azerbaijan □GB United □LT Lithuania □SK Slovakia □BA Bosnia and Kingdom □LV Latvia □SL Sierra Leone Herzegovina □GE Georgia □MA Morocco □SM San-Marino □BG Bulgaria □GR Greece □MC Monaco □SZ Swaziland □BT Bhutan □HR Croatia □MD Rep. of □TJ Tajikistan □BX Benelux □HU Hungary Moldova □TM Turkmenistan □BY Belarus □IE Ireland □MK The former □TR Turkey □CH Switzerland □IS Iceland Yugoslav □UA Ukraine □CN China □IT Italy Rep. Of □US united States □CU Cuba □JP Japan Macedonia of America □CY Cyprus □KE Kenya □MN Mongolia □UZ Uzbekistan □CZ Czech □KG Kyrgyzstan □MZ Mozambique □VN Viet Nam Republic □KP Democratic □NO Norway □YU Yugoslavia

□DE Germany          People's   □PL Poland        □ZM Zambia

□DK Denmark          Republic   □PT Portugal

of Korea   □RO Romania

others :

[4] SIGNATURE

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 ; METHOD OF PAYMENT 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 Complementary Total amount of the fee is applicable fee 73 Swiss complementary fees × francs ＝ ＝〉 Number of classes of goods and services Supplementary Total amount of the beyond three fee 73 Swiss supplementary fees × francs ＝ ＝〉 Individual fees(Swiss francs) :
	Designated Designated Contracting Individual fee Contracting Individual fee Parties Parties
Total individual fees ＝〉 Grand total

Party effecting the payment(name and address) :

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