AFFIDAVIT

In support of user date for trademark application and

user date and small enterprise

I, ______________________, Indian citizen, s/o __________________,

R/o ______________________________________ do hereby solemnly
affirm and declare as follows:

1. That I am an Indian national and residing at the above

mentioned address.

2. That i am honestly and constinously use the trademark / logo

_______________ since __________ date

3. I state that I am familiar and well conversant with the facts

and circumstances of the present matter and competent and
authorized to swear this affidavit and make necessary statement
in respect thereof.

4. I state that I have following evidence for my claim

a) Gumasta license /Service Tax Cert/ VAT Cert/
b) Certificate of Incorporation
c) Bank Statement
d) Copy of News Paper Advertisment
e) Copy of First Sales or Purchaser Invoice

5. I state that this affidavit is executed in order to be produced

before the appropriate authorities in support of the request to
record my claim for user date for the trademark application

Dated this _____ day of __________ 2017.

Place : Mumbai

_______________

Deponent

Name ________________
Designation ________________