FOR OFFICE USE ONLY
Date of Receipt:
International Application
Number:
Your Reference:
Complete if you would like us to quote this in
communications with you, otherwise leave blank.
Form MM2
Use this form to le your application to register an International Registration
governed exclusively by the Madrid Protocol.
There is a £40 IPO handling fee. The WIPO fees, to be paid directly to WIPO, can be calculated using the
online calculator https://www.wipo.int/madrid/en/fees/calculator.jsp?Origin=GB
1. Office of origin: United Kingdom
2. (a) Applicant
Proposed Owner:
(b) Address:
Details of the applicant should be the same as
the applicant’s details in the basic application. If
different, you will be required to bring the details
into line by either filing a Form TM16 or TM21.
Details are available at www.gov.uk/government/
publications/trade-mark-forms-and-fees.
Postcode
For additional applicants use
continuation sheet:
(c) Address for correspondence:
This should only be completed if you do not have a
representative and the address differs to the above.
Postcode
(d) Telephone:
Fax:
Do you want to be contacted via email:
By providing an email address, any further
correspondence from the International Bureau
(WIPO) will only be sent electronically
(e) Preferred language for correspondence
with WIPO:
English
French
Spanish
Intellectual Property Office is an operating name of the Patent Office
REV DEC 18
(f) Other Indication:
(i) If the applicant is a natural person,
nationality of the applicant:
(ii) If the applicant is a legal entity:
Specify whether Limited Company/LLP,
Partnership, Trust or Other.
Country:
e.g. UK, England & Wales
or UK, Scotland, or Isle of Man
3. Entitlement to file:
(a) The applicant is a national of the
United Kingdom:
(b) (i) The applicant is domiciled in the
United Kingdom:
(ii) The applicant has a real and effective
industrial or commercial establishment
in the United Kingdom:
If you have ticked 3(b)(i) or 3(b)(ii) please provide a UK
address if the address of the owner (referred to in
Section 2) is not in the UK.
4. Representative name:
Representative same as UK
or
If you have no representative, go to section 5.
Address:
Note: WIPO and the UK IPO will communicate with the
representative, if this section has been completed.
Postcode
Telephone:
Fax:
Do you want to be contacted via email:
By providing an email address, any further
correspondence from the International Bureau (WIPO)
will only be sent electronically.
5. Basic Application:
Application/Registration number:
Filing date: (DD/MM/YYYY)
Application/Registration number:
Filing date: (DD/MM/YYYY)
Any additional applications should be added on the
continuation sheet
6. Priority claim (Optional)
If you have applied for this trade mark
in the last six months, you can claim
priority by entering the details here.
Priority Claim Country
Application /
Registration Number
Priority Claim Date
Priority claim type
For All Goods and Services
If so no need to complete below
For Some of the Goods and Services
List the goods and services below.
Class Number
List of goods and services
If several priorities are claimed, use a continuation sheet giving the above required information for each
priority claimed.
7. The Mark:
(a) Representation of the mark
(i) Same as basic application:
** Please note that a multimedia mark (MP3, MP4) cannot be used as the basis for an international application, as the Madrid system only
allows for marks that are graphically represented.
(ii) If the basic application consisted of a series application. Please include an exact representation of the
mark in square below:
If the basic application consists of a series of marks, the
International Application can only be based on ONE of these
marks. If coverage is required for the remaining marks, separate
International Applications are required.
Note:
To import an image using Adobe Acrobat Reader please follow
instructions below:
Click on the “Sign” tab which is located on the top right
hand corner.
Click on Place Signature icon.
On the Place Signature window, click on the drop down menu and
click “Use an image” then click the Browse button.
Select either a “pdf” or “jpg” file and press open.
Press the Accept button and place image in the box. You can then
resize the image to fit the box.
(c) The applicant declares that he/she wishes
the mark to be considered as a mark in
standard characters:
(d) The mark consists exclusively of a colour
or combination of colours as such, without
any figurative element:
8. Colour(s) claimed:
(a) The applicant claims the following colour(s)
as a distinctive feature of the mark:
(b) Indication, for each colour, of the principal
parts of the mark that are in that colour
(as may be required by certain designating
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 (which may be
required by certain designated Contracting
Parties):
Into English:
Into French:
Into Spanish:
(c) The words contained in the mark have no
meaning (and therefore cannot be translated).
(d) Where applicable, check the relevant box or
boxes below:
Three-dimensional mark:
Sound mark:
Collective mark, certification mark, or
guarantee mark:
(e) Description of the mark:
The applicant wishes to include the mark
description as contained in the basic application.
(f) Verbal elements of the mark:
(g) Disclaimer:
The applicant declares that he/she wishes to
disclaim protection for the following elements
of the mark.
10. Goods and Services
(a) Goods and services for which international registration is sought
Registration is sought for the SAME goods and services contained in the
basic application.
If so no need to complete below
And/or
Registration is sought only for the FOLLOWING goods and services
contained in the basic application. The list of goods and services is
required to be within the scope of the basic application. List the goods and
services below.
Class Number
List of goods and services
Use Continuation sheet if necessary.
(b) The applicant wishes to further limit the list of goods and services for the following Contracting Party/
Parties (if required). List the goods and services below.
Contracting Party Class number or list of goods and services
Use continuation sheet if necessary.
11. Designated Contracting Parties:
Please tick the countries in which protection is sought
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 Darussalam
2
BQ Bonaire, Saint Eustatius
& Saba
6
BT Bhutan
BW Botswana
BX Benelux
BY Belarus
CA Canada
CH Switzerland
CN China
CO Colombia
CU Cuba
5
CW Curacao
6
CY Cyprus
CZ Czech Republic
DE Germany
DK Denmark
DZ Algeria
EE Estonia
EG Egypt
EM European Union
1
ES Spain
FI Finland
FR France
GM Gambia
GE Georgia
GH Ghana
5
GR Greece
HR Croatia
HU Hungary
ID Indonesia
IE Ireland
2
IL Israel
IN India
2
IR Iran (Islamic Republic of)
IS Iceland
IT Italy
JP Japan
5
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 Lesotho
LT Lithuania
LV Latvia
MA Morocco
MC Monaco
MD Republic of Moldova
ME Montenegro
MG Madagascar
MK North Macedonia
MN Mongolia
MW Malawi
MX Mexico
MZ Mozambique
NA Namibia
NO Norway
NZ New Zealand
2
OA African Intellectual
Property Organization
(OAPI)
3
OM Oman
PH Philippines
PL Poland
PT Portugal
RO Romania
RS Serbia
RU Russian Federation
RW Rwanda
SD Sudan
SE Sweden
SG Singapore
2
SI Slovenia
SK Slovakia
SL Sierra Leone
SM San Marino
ST Sao Tome and Principe
SX Sint Maarten (Dutch part)
6
SY Syrian Arab Republic
SZ Eswatini
TH Thailand
TJ Tajikistan
TM Turkmenistan
TN Tunisia
TR Turkey
UA Ukraine
US United States of America
4
UZ Uzbekistan
VN Viet Nam
WS Samoa
ZM Zambia
ZW Zimbabwe
Other:
1. The designation of the European Union covers the following 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, United Kingdom.
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. The MM17 can be found at http://www.wipo.int/madrid/en/forms/
2. By designating Brunei Darussalam, India, Ireland, New Zealand or Singapore, the applicant 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 this application.
3. The designation of the African Intellectual Property Organization 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.
4. 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. Section 2 (further information) of the present form should also be
completed. The MM18 can be found at http://www.wipo.int/madrid/en/forms/. We would advise you to file the MM18 with the MM2. Otherwise,
you will need to send the form directly to the International Bureau (WIPO).
5.
Cuba and Japan have made a notification under Rule 34(3)(a) of the Common Regulations. Their respective individual fees are payable in
two parts. Therefore, if Cuba 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.
6. Territorial entity previously part of the former Netherlands Antilles.
12. Signature by the applicant and/or representative:
Optional: Date:
Contact details:
Name, daytime telephone number of the person
to contact in case of query.
Checklist
Please make sure you have remembered to include
the following forms:
(If required)
TM16
MM17 (Must be based on a UK Registration)
MM18 (Which is compulsory if designating the
United States of America)
TM21A
Completed fee sheet (form FS4)
Number of sheets attached to form
Where to send
internationaltrademarks@ipo.gov.uk
Intellectual Property Office
Trade Marks Registry
Concept House
Cardiff Road
Newport
South Wales
NP10 8QQ
Please note;
You will need to send the MM17 and MM18 directly to
WIPO if not submitted with the MM2.
If filing TM16 or TM21 please send by post or fax.
Data Privacy: https://www.gov.uk/government/organisations/intellectual-property-office/about/personal-information-charter
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 led 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
x
Complementary fee
100 Swiss francs
=
Total amount of the
complementary fees
=>
Number of classes of
goods and services beyond
three
x
Supplementary fee
100 Swiss francs
=
Total amount of the
supplementary fees
=>
Individual fees (Swiss francs):
Designated Contracting Parties
Individual fee
Designated Contracting Parties
Individual fee
Total individual fees =>
GRAND TOTAL (Swiss francs)
(c) METHOD OF PAYMENT
Identity of the party eecting 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 identication
dd/mm/yyyy
Payment made to WIPO postal account
(within Europe only)
IBAN No. CH03 0900 0000 1200 5000 8
Swift/BIC: POFICHBE
Payment identication
dd/mm/yyyy
Form FS4
Fee sheet for: International Trade Mark applications made through the Intellectual Property Oce.
Please read the guidance notes on the next page about filling in this form.
Your IPO Account
Number (if you have one)
Details of the person we should contact in case of query.
Name:
Your name and full
address
(including postcode)
Daytime phone number:
Fax Number:
Your customer reference
(Optional)
Email address:
If you fax us your forms, say how many
sheets (including this one) you are sending
List of forms included
Date:
Form number
Application reference
(exactly as shown on page 1 of your application form)
Handling Fee
£40 per application
1
2
3
4
5
Totals
How do you wish to pay? Tick payment method
1. Online by credit or debit card
• Go to fees.ipo.gov.uk/pay to make your payment
• We will send you a payment reference once payment is made. Enter this into the box below
Payment reference
We will not be able to process your form(s) without the payment
reference. This may aect your ling date.
2. Deduction from IPO Deposit Account quoted above
3. Cheque, made payable to ‘Intellectual Property Oce’
4. Bank transfer
Intellectual Property Office is an operating name of the Patent Office
www.gov.uk/ipo
Help with completing this form
If you provide a customer reference, this will be printed on the fee acknowledgement that we send, so
that you can link the transactions with your own records.
Arrange your forms in the same order that you list them on this form.
Form number: This is the number printed at the top right of the WIPO form.
Application reference: Use the same reference that you put in Section 12 of your WIPO form.
Handling Fee: A handling fee is for new applications only.
Other forms should be listed on the fee sheet but do not include a handling fee.
How to pay
Payment by card
Use the online payment service, visit fees.ipo.gov.uk/pay to pay the handling fee only. Once your payment is
accepted you will be given a ‘payment reference number which you must enter in the box provided on the
rst page.
Payment by cheque
Cheques should be made payable to the ‘Intellectual Property Oce’ and sent to the address below.
Payment by bank transfer
Use the following bank account details:
Bank sort code: 20-18-15
Bank name: Barclays Bank PLC
3rd Floor Windsor Court
3 Windsor Place
Cardi
CF10 3ZL
Account number: 80531766
Account name: Intellectual Property Oce
Reference: Quote your account number (as shown on the front of this form) or some other
identier.
SWIFT code: BARCGB22
IBAN number: GB31 BARC 2018 1580 5317 66
Where to send
By post to: Intellectual Property Oce
Concept House
Cardi Road
Newport
South Wales
NP10 8QQ
Or fax them to: 01633 817777 [NOTE: You must also send us the originals by post]
CONTINUATION SHEET
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