Applicant Name

Pvt Ltd/Public Ltd/LLP/Partnership Firm/Proprietorship Firm/Trust/Individual

Address of Applicant

Type of Organization
Pvt. LtdPublic LtdLLPPartnership FirmProprietorship FirmTrustIndividual

Full name of all the Partners/Directors

In case of Pvt Ltd/Public Ltd/LLP/Partnership Firm

Full name of the Signatory for signing Power of Attorney

On behalf of Company/LLP/Firm/Trust

Mark/Brand Name

Full name of all the Partners/Directors

Please mention the exact goods or services to be sold / promoted under this brand name.

The narration shall be with in 3-4 lines and shall include only the specific goods or services name

Eg: Software Development: Software development, IT enabled services, mobile application, web designing, IT consulting, animation etc.

Textile Industry: Manufacturing and trading of cloth, suiting, shirting, fabrics etc.

State Whether
ManufacturerTraderService Provider

User Date of the Brand/Mark

Please specify the approx date since the brand is being used, if new add today’s date

Upload Logo (Brand Name)

File type: JPG/JPEG. Size: Max 2MB

Contact Email (required)

Contact Number

Submit