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MM2 (E) – APPLICATION FOR INTERNATIONAL REGISTRATION UNDER THE MADRID PROTOCOL

We strongly recommend that you use the Madrid Application Assistant to file an international application when paying the application fees with a credit card or debiting them from a WIPO current account.

For use by the applicant::

Number of continuation sheets for several applicants:

Number of continuation sheets:

Number of MM17 forms:

MM18 form (if applicable, check the box)

Applicant’s reference (optional):

For use by the Office of origin:

Office’s reference (optional):

1. CONTRACTING PARTY WHOSE OFFICE IS THE OFFICE OF ORIGIN

2. APPLICANT1
If there is more than one applicant, indicate the number of applicants and complete the “Continuation Sheet for Several Applicants”.
Number of applicants:

(a)	Name:

(b)	Address:







1 If there is more than one applicant, indicate the details for the first applicant only and provide the details requested in the “Continuation Sheet for Several Applicants” attached to this form.

(c)	E-mail address2:

(d)	Telephone number3:

(e)	Nationality or legal nature and State of organization4:

	(i)	If the applicant is a natural person, indicate the nationality of the applicant:
		Nationality of the applicant:

	(ii)	If the applicant is a legal entity, provide both of the following indications:
		Legal nature of the legal entity:
		State (country) and, where applicable, territorial unit within that State (canton, province, state, etc.), under the law of which the said legal entity has been organized:

Correspondence details (optional):

(f)	Preferred language for correspondence5:		English	French	Spanish

2 You must indicate the e-mail address of the applicant. If a representative is appointed, the e-mail address of the applicant and of the representative must be different. If you do not indicate the e-mail address of the applicant or it is the same as the e-mail address of the representative, you will receive an irregularity notice and delay the processing of the application. The applicant must ensure that the e-mail address indicated here is correct and kept up to date.
WIPO will send all communications for this international application and the resulting international registration to the e-mail address of the applicant, unless an alternative e-mail address for correspondence is indicated in item 2(g)(ii) or a representative is appointed in item 4.
Where a representative is appointed, WIPO will only send communications to the e-mail address of the representative, except for a few communications where the Regulations require that WIPO send a copy to the holder (see the Note for Filing Form MM2).
3 Indicating a phone number is not required, but it will allow WIPO to reach you if needed.
4 Certain designated Contracting Parties may require these indications; only provide indications in either item (i) or item (ii) but not in both items.
5 If you do not indicate your preferred language, WIPO will send all communications concerning this international application and the resulting international registration in the language of the international application.

(g)	Alternative address and e-mail address for correspondence6:

	(i)	Postal address:






	(ii)	E-mail address:

3. ENTITLEMENT TO FILE7
(a)	Check the appropriate box:

	(i)		where the Contracting Party mentioned in item 1 is a State, the applicant is a national of that State; or

	(ii)		where the Contracting Party mentioned in item 1 is an organization, the name of the State of which the applicant is a national:

				; or

	(iii)		the applicant is domiciled in the territory of the Contracting Party mentioned in item 1; or

	(iv)		the applicant has a real and effective industrial or commercial establishment in the territory of the Contracting Party mentioned in item 1.

(b)	Where the address of the applicant, given in item 2(b), is not in the territory of the Contracting Party mentioned in item 1, indicate in the space provided below:

	(i)	if the box in paragraph (a)(iii) of the present item has been checked, the domicile of the applicant in the territory of that Contracting Party, or,

	(ii)	if the box in paragraph (a)(iv) of the present item has been checked, the address of the applicant’s industrial or commercial establishment in the territory of that Contracting Party.

6 Use this only if you want WIPO to send all communications concerning this international application and the resulting international registration to an address and e-mail address different from those indicated in item 2 (b) and (c).
7 If there is more than one applicant, indicate the entitlement details for the first applicant only and provide the details requested in the “Continuation Sheet for Several Applicants” attached to this form.

4. APPOINTMENT OF A REPRESENTATIVE8
(a)	Name:

(b)	Address:






(c)	E-mail address9:

(d)	Telephone number10:

5. BASIC APPLICATION OR BASIC REGISTRATION
Basic application number:		Date of the basic application (dd/mm/yyyy):

Basic registration number:		Date of the basic registration (dd/mm/yyyy):

6. PRIORITY CLAIMED
	The applicant claims the priority of the earlier filing mentioned below:

	Office of earlier filing:

	Number of earlier filing (if available):

	Date of earlier filing (dd/mm/yyyy):

8 You must indicate the name, address and e-mail address of the representative; otherwise, WIPO cannot record the appointment.
9 When a representative is appointed, WIPO will send all communications concerning this international application and the resulting international registration only to the e-mail address of the representative, except for a few communications where the Regulations require that WIPO send a copy to the holder (see the Note for Filing Form MM2). The applicant and the representative must ensure that the e-mail address indicated here is accurate and kept up to date.
10 Indicating a phone number is not required, but it will allow WIPO to reach your representative if needed.

	If the earlier filing does not relate to all the goods and services listed in item 10, indicate in the space provided below the goods and services to which it does relate:


	If several priorities are claimed above, check this box and use a continuation sheet giving the information required for each priority claimed.

7. THE MARK
(a) Place the reproduction of the mark, as it appears in the basic application or basic registration, in the square below.		(b) Where the reproduction in item (a) is in black and white and color is claimed in item 8, place a color reproduction of the mark in the square below.

(c)	The applicant declares that the mark is to be considered as a mark in standard characters.

(d)	The mark consists exclusively of a color or a combination of colors as such, without any figurative element.

8. COLOR(S) CLAIMED
(a)		The applicant claims color as a distinctive feature of the mark.
		Color or combination of colors claimed:


(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):

9. MISCELLANEOUS INDICATIONS
(a)		Transliteration of the mark (this information is compulsory where the mark consists of or contains matter in characters other than Latin characters, or numerals other than Arabic or Roman numerals):


(b)		Translation of the mark (as may be required by certain designated Contracting Parties; do not check the box in item (c) if you provide a translation in this item):

	(i)	into English:

	(ii)	into French:

	(iii)	into Spanish:

(c)		The words contained in the mark have no meaning (and therefore cannot be translated; do not check this box if you have provided a translation in item (b)).

(d)		Where applicable, check the relevant box(es) below:

		Three-dimensional mark

		Sound mark

		Collective mark, certification mark, or guarantee mark

(e)		Description of the mark (as may be required by certain designated Contracting Parties, such as, for example, the United States of America)

	(i)	Description of the mark contained in the basic application or basic registration, where applicable (only use this item if the Office of origin requires to include this description in the international application for the purposes of item 13(a)(ii) of this form):


	(ii)	Voluntary description of the mark (any description of the mark by words, including the description contained in the basic application or registration, if you were not required to provide this description in item (e)(i) above):


(f)		Verbal elements of the mark (where applicable):


(g)		The applicant wishes to disclaim protection for the following element(s) of the mark:

10. GOODS AND SERVICES11
(a)		Indicate below the goods and services for which the international registration is sought12:

Class:		Goods and Services13:


(b)		The applicant wishes to limit the list of goods and services in respect of one or more designated Contracting Parties, as follows:

Contracting Party:			Class(es) or list of goods and services for which protection is sought in this Contracting Party:


	If the space provided is not sufficient, check the box and use a continuation sheet.

11 You can use the Madrid Goods and Services Manager (MGS) to find indications accepted by WIPO. In MGS, you can also find acceptance information for selected Contracting Parties. MGS is available at www.wipo.int/mgs.
12 Use font “Courier New” or “Times New Roman”, size 12 pt., or larger.
13 Use semicolon (;) to separate indications or goods or services listed in a given class. For example:
09 Screens for photoengraving; computers
35 Advertising; compilation of statistics; commercial information agencies.

11. DESIGNATIONS14
Check the corresponding boxes:
AE United Arab Emirates AF Afghanistan AG Antigua and Barbuda AL Albania AM Armenia AT Austria AU Australia AZ Azerbaijan BA Bosnia and Herzegovina BG Bulgaria BH Bahrain BN Brunei Darussalamb BQ Bonaire, Saint Eustatius and Sabaf,g BR Brazile,h BT Bhutan BW Botswana BX Beneluxi BY Belarus CA Canada CH Switzerland CL Chile CN China CO Colombia CU Cubae CV Cabo Verdeb CW Curaçaof CY Cyprus CZ Czech Republic DE Germany DK Denmark	DZ Algeria EE Estonia EG Egypt EM European Uniona ES Spain FI Finland FR France GB United Kingdomb,j GE Georgia GG Guernseyb,k GH Ghana GM Gambia GR Greece HR Croatia HU Hungary ID Indonesia IE Irelandb IL Israel IN Indiab IR Iran (Islamic Republic of) IS Iceland IT Italy JM Jamaica JP Japane KE Kenya KG Kyrgyzstan KH Cambodia KP Democratic People’s Republic of Korea KR Republic of Korea	KZ Kazakhstan LA Lao People’s Democratic Republic LI Liechtenstein LR Liberia LS Lesothob LT Lithuania LV Latvia MA Morocco MC Monaco MD Republic of Moldova ME Montenegro MG Madagascar MK North Macedonia MN Mongolia MW Malawib MX Mexico MY Malaysiab MZ Mozambiqueb NA Namibia NO Norway NZ New Zealandb OA African Intellectual Property Organization (OAPI)c OM Oman PH Philippines PK Pakistanb PL Poland PT Portugal	RO Romania RS Serbia RU Russian Federation RW Rwanda SD Sudan SE Sweden SG Singaporeb SI Slovenia SK Slovakia SL Sierra Leone SM San Marino ST Sao Tome and Principe SX Sint Maarten (Dutch part)f SY Syrian Arab Republic SZ Eswatini TH Thailand TJ Tajikistan TM Turkmenistan TN Tunisia TR Turkiye TT Trinidad and Tobagob UA Ukraine US United States of Americad UZ Uzbekistan VN Viet Nam WS Samoa ZM Zambia ZW Zimbabwe


14 You can find information on the procedures in national or regional offices in the Member Profile Database, available at www.wipo.int/madrid/memberprofiles.

a The designation of the European Union covers its Member States (Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, The Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden).
If the European Union is designated, it is compulsory to indicate a second language before the Office of the European Union, among the following (check one box only):
French German Italian Spanish
Moreover, if the applicant wishes to claim the seniority of an earlier mark registered in, or for, a Member State of the European Union, the official form MM17 must be annexed to the present international application.
b By designating Brunei Darussalam, Cabo Verde, Guernsey, India, Ireland, Lesotho, Malawi, Malaysia, Mozambique, New Zealand, Pakistan, Singapore, Trinidad and Tobago or the United Kingdom, the applicant declares that he/she has the intention that the mark will be used by him/her or with his/her consent in that country in connection with the goods and services identified in this application.
c The designation of the African Intellectual Property Organization (OAPI) 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.
d If the United States of America is designated, it is compulsory to annex to the present international application the official form (MM18) containing the declaration of intention to use the mark required by this Contracting Party. Item 2(e) of the present form should also be completed.
e Cuba, Brazil and Japan have made a notification under Rule 34(3)(a) of the Regulations. Their respective individual fees are payable in two parts. Therefore, if Cuba, Brazil or Japan is designated, only the first part of the applicable individual fee is payable at the time of filing the present international application. The second part will have to be paid only if the Office of the Contracting Party concerned is satisfied that the mark which is the subject of the international registration qualifies for protection. The date by which the second part must be paid, and the amount due, will be notified to the holder of the international registration at a later stage.
f Territorial entity previously part of the former Netherlands Antilles.
g Protection in BQ (Bonaire, Saint Eustatius and Saba) is granted automatically with the designation (see Information Notice No. 27/2011).
h By designating Brazil, the applicant declares that the applicant, or a company controlled by the applicant, effectively and lawfully conducts business in connection with the goods and services for which Brazil is being designated; and, agrees to receive notifications, including summons, not covered by the Madrid Protocol concerning the international registration of the mark that is the subject of this international application, issued in judicial proceedings held in Brazil, by post.
i The designation of Benelux covers the following States: Belgium, Luxembourg and the Netherlands.
j The designation of the United Kingdom covers England, Wales, Scotland, Northern Ireland, the British Overseas Territory of the Falkland Islands (Malvinas) and Gibraltar, as well as the two British Crown Dependencies of the Isle of Man and Jersey (see Information Notices No. 38/2015 and 77/2020).
k The Bailiwick of Guernsey is a self-governing British Crown Dependency (see Information Notice No. 77/2020).

12. SIGNATURE OF THE APPLICANT AND/OR THEIR REPRESENTATIVE If required or allowed by the Office of origin.

By signing this form, I declare that I am entitled to sign it under the applicable law.
Signature:

13. CERTIFICATION AND SIGNATURE OF THE INTERNATIONAL APPLICATION BY THE OFFICE OF ORIGIN
(a)		Certification. The Office of origin certifies:

	(i)	That the request to present this application was received on (dd/mm/yyyy):


	(ii)	that the applicant named in item 2 is the same as the applicant named in the basic application or the holder named in the basic registration mentioned in item 5, as the case may be, that any indication given in item 7(d), 9(d) or 9(e)(i) appears also in the basic application or the basic registration, as the case may be, that the mark in item 7(a) is the same as in the basic application or the basic registration, as the case may be, that, if color is claimed as a distinctive feature of the mark in the basic application or the basic registration, the same claim is included in item 8 or that, if color is claimed in item 8 without having being claimed in the basic application or basic registration, the mark in the basic application or basic registration is in fact in the color or combination of colors claimed, and that the goods and services listed in item 10 are covered by the list of goods and services appearing in the basic application or basic registration, as the case may be.

Where the international application is based on two or more basic applications or basic registrations, the above declaration shall be deemed to apply to all those basic applications or basic registrations.

(b)		Name of the Office:


(c)		Name and signature of the official signing on behalf of the Office:
		By signing this form, I declare that I am entitled to sign it under the applicable law.


(d)		E-mail address of the contact person in 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 (see Fee Calculator: www.wipo.int/madrid/en/fees/calculator.jsp)

Basic fee: 653 Swiss francs if the reproduction of the mark is in black and white only and 903 Swiss francs if there is a reproduction in color. (For international applications filed by applicants whose country of origin is a Least Developed Country, in accordance with the list established by the United Nations (www.wipo.int/ldcs/en/country), 65 Swiss francs if the reproduction is in black and white only and 90 Swiss francs if there is a reproduction in color.)

Complementary and supplementary fees:
Number of designations for which complementary fee is applicable			Complementary fee	Total amount of the complementary fees
		x	100 Swiss francs	=	=
Number of classes of goods and services beyond three			Supplementary fee	Total amount of the supplementary fees
		x	100 Swiss francs	=	=

Individual fees (Swiss francs)15
Designated Contracting Parties			Individual fee	Designated Contracting Parties	Individual fee







			Total individual fees		=

			GRAND TOTAL (Swiss francs)		=


15 Where individual fees have been declared, you will pay these fees instead of the standard fees except where the designated Contracting Party and the Contracting Party of the holder are both States bound by the Protocol and the Agreement, in which case, a complementary fee is payable.


(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 (within Europe only) IBAN No. CH03 0900 0000 1200 5000 8 Swift/BIC: POFICHBE		Payment identification	dd/mm/yyyy

CONTINUATION SHEET FOR SEVERAL APPLICANTS	No.	of

Please, complete a separate continuation sheet for each applicant.

APPLICANT

No.

(a)

Name:

(b)	Address:

(c)	E-mail address16:

(d)

Telephone number17:

(e)	Nationality or legal nature and State of organization18:

	(i)	If the applicant is a natural person, indicate the nationality of the applicant:
		Nationality of the applicant:

	(ii)	If the applicant is a legal entity, provide both of the following indications:
		Legal nature of the legal entity:
		State (country) and, where applicable, territorial unit within that State (canton, province, state, etc.), under the law of which the said legal entity has been organized:

16 You must indicate the e-mail address of each applicant. Where there is more than one applicant, each applicant must provide their own e-mail address, which must be different from each other and their representative, if any. The applicant must ensure that the e-mail address indicated here is correct and kept up to date.
WIPO will send all communications concerning the international application and the resulting international registration only to the e-mail address of the applicant named first in item 2 of the attached form, unless an alternative e-mail address for correspondence is indicated in item 2(g)(ii) or a representative is appointed in item 4.
17 Indicating a phone number is not required, but it will allow WIPO to reach you if needed.
18 Certain designated Contracting Parties may require these indications; only provide indications in either item (i) or item (ii) but not in both items.

ENTITLEMENT TO FILE
(a)	Check the appropriate box:

	(i)		where the Contracting Party mentioned in item 1 of the attached form is a State, the applicant is a national of that State; or

	(ii)		where the Contracting Party mentioned in item 1 of the attached form is an organization, the name of the State of which the applicant is a national:

				; or

	(iii)		the applicant is domiciled in the territory of the Contracting Party mentioned in item 1 of the attached form; or

	(iv)		the applicant has a real and effective industrial or commercial establishment in the territory of the Contracting Party mentioned in item 1 of the attached form.

(b)	Where the address of the applicant, given above, is not in the territory of the Contracting Party mentioned in item 1, indicate in the space provided below:

	(i)	if the box in paragraph (a)(iii) above, has been checked, the domicile of the applicant in the territory of that Contracting Party, or,

	(ii)	if the box in paragraph (a)(iv) above, has been checked, the address of the applicant’s industrial or commercial establishment in the territory of that Contracting Party.

CONTINUATION SHEET	No.	of

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